Individual
JORGE DAVID RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1467 FOX SQUIRREL DR, DAVENPORT, FL 33897-9547
(863) 326-8128
Mailing address
1467 FOX SQUIRREL DR, DAVENPORT, FL 33897-9547
(863) 326-8128
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
FL
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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