Individual
JAVIER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 518-3801
Mailing address
12824 CRAGSIDE LN, WINDERMERE, FL 34786-6646
(407) 949-2204
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PMD524468
FL
146N00000X
Basic Emergency Medical Technician
EMT535359
FL
163W00000X
Registered Nurse
Primary
RN9398955
FL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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