Individual
OMAYSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 SW 8TH ST, CORAL GABLES, FL 33134-2269
(786) 953-8225
Mailing address
5301 SW 8TH ST, CORAL GABLES, FL 33134-2269
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
854087321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-4087321
N/A
—
Enumeration date
03/15/2021
Last updated
03/23/2021
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