Individual
RAFAEL MIGUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N PARSON AVE, # 105, BRANDON, FL 33510
(813) 653-2775
(813) 653-4521
Mailing address
401 N PARSON AVE, # 105, BRANDON, FL 33510
(813) 653-2775
(813) 653-4521
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0043683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045795700
—
FL
01
—
130004554
MEDICARE RAILROAD
FL
Enumeration date
03/06/2006
Last updated
08/03/2022
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