Individual
DR. PAUL A. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL 33064
(954) 941-0484
(954) 941-0485
Mailing address
1821 NE 25TH STREET, SUITE 100, LIGHTHOUSE POINT, FL 33064
(954) 941-0484
(954) 941-0485
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS7048
FL
208VP0000X
Pain Medicine Physician
Primary
OS7048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050072248
RAILROAD MEDICARE
FL
05
—
257541800
—
FL
01
—
285366
AVMED
FL
01
—
49427
BLUE CROSS BLUE SHIELD
FL
01
—
L4QH7
FLORIDA BLUE
FL
Enumeration date
01/13/2006
Last updated
03/15/2019
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