Individual
HANNAH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935-3152
(407) 694-3603
(321) 296-7130
Mailing address
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935-3152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
19414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108068700
—
FL
Enumeration date
07/14/2020
Last updated
01/31/2022
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