Individual
ROBERT RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
216 FREDERICK ST, PIERSON, FL 32180-3024
(386) 749-9449
(386) 749-2280
Mailing address
1205 S WOODLAND BLVD STE 3, DELAND, FL 32720-7464
(386) 202-6025
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009036300
—
FL
Enumeration date
05/15/2012
Last updated
07/22/2024
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