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Individual

DR. DAGOBERTO JESUS RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME058463
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265743100
FL
01
ME-58463
LIC# ME-58463
FL
Enumeration date
08/16/2006
Last updated
06/15/2012
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