Individual
DR. ALEXANDER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 PARK PLACE BLVD STE C, DAVENPORT, FL 33837-6868
(863) 588-4775
(863) 422-7664
Mailing address
PO BOX 878, DAVENPORT, FL 33836-0878
(689) 223-3898
(689) 223-3898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
16424
PR
208D00000X
General Practice Physician
Primary
ACN534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16424
PR MEDICAL LICENSE
PR
01
—
ACN534
MEDICAL LICENSE FLORIDA
FL
Enumeration date
04/27/2007
Last updated
08/27/2024
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