Individual
DR. RYAN GUSTAVO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
ME166833
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME166833
FL
Other
Enumeration date
03/29/2018
Last updated
04/20/2026
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