Individual
DR. JOSEPH D RODERIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3065
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101258805
VA
207L00000X
Anesthesiology Physician
Primary
ME140352
FL
Other
Enumeration date
06/02/2014
Last updated
06/13/2024
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