Individual
DR. CARLOS R RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
(727) 824-8150
Mailing address
14100 58TH ST N, CLEARWATER, FL 33760-9900
(727) 824-8181
(727) 824-8150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME82799
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME82799
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265512800
—
FL
Enumeration date
06/20/2005
Last updated
08/04/2023
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