Individual
CARLOS MIGUEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 910-2941
Mailing address
1774 LEE JANZEN DR, KISSIMMEE, FL 34744-3951
(773) 663-1338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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