Individual
LIZ M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
731 MICHIGAN CT APT 4, SAINT CLOUD, FL 34769-5275
(787) 932-1544
Mailing address
PO BOX 420068, KISSIMMEE, FL 34742-0068
(407) 818-6318
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6423387
—
FL
Enumeration date
11/11/2019
Last updated
06/09/2023
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