Individual
DIANA RODRIGUEZ HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
3901 SW 26TH ST, WEST PARK, FL 33023-4415
(305) 504-3275
Mailing address
3901 SW 26TH ST, WEST PARK, FL 33023-4415
(305) 504-3275
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-644
FL
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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