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Organization

CRES A RODRIGUEZ MD PA

Active
Other names
Adult & Geriatric Medical Care, P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRES ANTONIO RODRIGUEZ M.D. (PRESIDENT)
(813) 915-5555
Entity
Organization

Contact information

Practice address
7001 N DALE MABRY HWY, SUITE 11, TAMPA, FL 33614-3910
(813) 915-5555
(813) 931-7508
Mailing address
7001 N DALE MABRY HWY, SUITE 11, TAMPA, FL 33614-3910
(813) 915-5555
(813) 931-7508

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME51442
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047016300
FL
Enumeration date
07/07/2006
Last updated
01/03/2011
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