Individual
DR. ELENA HERSCHDORFER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
713 E MARION AVE STE 131, PUNTA GORDA, FL 33950-3868
(941) 575-1514
(941) 639-0466
Mailing address
PO BOX 494606, PORT CHARLOTTE, FL 33949-4606
(786) 316-3649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS15077
FL
207Q00000X
Family Medicine Physician
U04643
FL
Other
Enumeration date
10/30/2017
Last updated
09/09/2020
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