Individual
DR. ROSANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086-4233
(904) 823-3301
(904) 823-3328
Mailing address
6 SAINT JOHNS MEDICAL PARK DR, SAINT AUGUSTINE, FL 32086-5298
(904) 823-3301
(904) 823-3328
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480027595
RR MEDICARE
—
01
—
P02734
STATE LICENSE
FL
Enumeration date
08/14/2006
Last updated
10/16/2015
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