Individual
DR. JAIME RODRIGUEZ TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 274-5333
(386) 274-6646
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 274-5333
(386) 274-6646
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME89825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269288100
—
FL
01
—
ME89825
STATE MEDICAL LICENSE
FL
Enumeration date
10/02/2006
Last updated
04/05/2010
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