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Individual

DR. RAUL RODRIGUEZ-TORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DR

Contact information

Practice address
2011 S 25TH ST STE 105, FORT PIERCE, FL 34947-4795
(772) 460-8235
(772) 460-5010
Mailing address
2011 S 25TH ST STE 105, FORT PIERCE, FL 34947-4795
(772) 460-8235
(772) 460-5010

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME54098
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
049315501
FL
Enumeration date
08/21/2012
Last updated
08/21/2012
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