Individual
GERARDO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, EMT-P
Contact information
Practice address
6620 W 11TH AVE, HIALEAH, FL 33012-6431
(786) 255-6471
Mailing address
6620 W 11TH AVE, HIALEAH, FL 33012-6431
(786) 255-6471
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110161
FL
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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