Individual
MR. ALEXIS PHYLLIP RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, CENTRAL BUILDING, ROOM 600D (R-60), MIAMI, FL 33136-1005
(305) 585-5215
Mailing address
PO BOX 12493, MIAMI, FL 33101-2493
(305) 585-5315
(305) 355-2242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME128507
FL
Other
Enumeration date
03/25/2012
Last updated
11/19/2017
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