Individual
SANDRA L. RODRIGUEZ DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10948 N 56TH ST, SUITE 200, TEMPLE TERRACE, FL 33617-3007
(813) 284-6993
(813) 374-9603
Mailing address
10948 N 56TH ST, SUITE 200, TEMPLE TERRACE, FL 33617-3007
(813) 284-6993
(813) 374-9603
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
103326
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010895800
—
FL
Enumeration date
07/08/2008
Last updated
09/15/2014
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