Individual
GEORGETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5600 SW 87TH ST, MIAMI, FL 33143-8315
(941) 468-2719
(305) 663-1156
Mailing address
5600 SW 87TH ST, MIAMI, FL 33143-8315
(305) 661-0093
(305) 663-1156
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME95752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME95752
MEDICAL LICENSE
FL
Enumeration date
08/21/2006
Last updated
06/29/2009
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