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Individual

CARMEN S RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, ARNP

Contact information

Practice address
509 NE 1ST ST, GAINESVILLE, FL 32601-5308
(352) 519-5542
Mailing address
3404 NW 34TH ST, GAINESVILLE, FL 32605-2140
(352) 256-7171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1460152
FL
163WX0200X
Oncology Registered Nurse
1460152
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
1460152
FL

Other

Enumeration date
12/08/2005
Last updated
03/17/2018
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