Individual
ANASTACIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 METRIC DR, WINTER PARK, FL 32792-6837
(407) 681-7600
Mailing address
1049 S HIAWASSEE RD APT 3423, ORLANDO, FL 32835-1880
(718) 864-2928
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5189867
FL
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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