Individual
LORRAINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6879 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-6179
(904) 296-2441
(904) 821-3113
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME73604
FL
207VX0000X
Obstetrics Physician
ME73604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253363400
—
FL
Enumeration date
06/27/2005
Last updated
04/01/2016
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