Individual
LIA SUSANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 294-7062
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 293-1121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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