Individual
ANIELKA RAFAELA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2915 LAKEVIEW DR STE 1001, FERN PARK, FL 32730-2009
(407) 900-0613
(407) 335-6945
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 900-0613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME117966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH879
FL MEDICARE
FL
Enumeration date
07/29/2010
Last updated
03/25/2021
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