Individual
DR. JAMES WILLIAM RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13421 S SHORE BLVD STE 101, WELLINGTON, FL 33414-7210
(561) 440-1616
(561) 440-2030
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(775) 356-9393
(775) 356-5590
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101017417
MI
207P00000X
Emergency Medicine Physician
Primary
OS11155
FL
Other
Enumeration date
06/25/2007
Last updated
03/17/2018
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