Individual
MR. NICOLAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2632 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2845
(772) 873-8811
Mailing address
1564 SE ROYAL GREEN CIR, APT U102, PORT SAINT LUCIE, FL 34952-4674
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2013
Last updated
01/15/2020
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