Individual
DR. ILEANA M. RODICIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9000 SW 137TH AVE, SUITE 213, MIAMI, FL 33186-1411
(305) 388-0078
(305) 388-2029
Mailing address
11880 SW 40TH ST, SUITE 304, MIAMI, FL 33175-3584
(305) 223-8808
(305) 223-8974
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME88103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267769500
—
FL
01
—
U1340Z
MEDICARE
FL
Enumeration date
04/14/2006
Last updated
09/21/2015
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