Individual
CARLOS GERARDO FELICIANO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1430 S HIGHWAY 29 UNIT 222, CANTONMENT, FL 32533-6010
(850) 572-4457
Mailing address
1430 S HIGHWAY 29 UNIT 222, CANTONMENT, FL 32533-6010
(850) 572-4457
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11042911
FL
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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