Individual
GILBERTO D RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 SW STATE ROAD 47, LAKE CITY, FL 32025-0453
(386) 401-7066
(833) 933-0709
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME151698
FL
207RH0000X
Hematology (Internal Medicine) Physician
ME151698
FL
207RX0202X
Medical Oncology Physician
Primary
ME151698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32806500
—
WI
01
—
P00823748
RR MEDICARE
WI
Enumeration date
02/20/2006
Last updated
07/06/2021
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