Individual
EVELIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10794 PINES BLVD STE 104, PEMBROKE PINES, FL 33026-3920
(954) 735-3535
Mailing address
15096 SW 20TH LN, MIAMI, FL 33185-5680
(786) 838-3602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
26580
FL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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