Individual
JUANITA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2343 AARON ST, PORT CHARLOTTE, FL 33952-5305
(855) 979-5701
Mailing address
4429 TARGEE AVE, NORTH PORT, FL 34287-4281
(941) 650-9984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9271379
FL
163WG0600X
Gerontology Registered Nurse
9271379
FL
163WM0705X
Medical-Surgical Registered Nurse
9271379
FL
363LA2100X
Acute Care Nurse Practitioner
11029618
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11029618
FL
Other
Enumeration date
11/07/2023
Last updated
01/05/2024
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