Individual
JUAN MANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3677 CENTRAL AVE STE B, FORT MYERS, FL 33901-8226
(239) 790-1263
(239) 790-1074
Mailing address
3677 CENTRAL AVE STE B, FORT MYERS, FL 33901-8226
(239) 790-1263
(239) 790-1074
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
225700000X
Massage Therapist
Primary
MA91153
FL
Other
Enumeration date
01/25/2019
Last updated
06/16/2022
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