Individual
MARLENE DIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
621 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 345-8320
Mailing address
621 W LUMSDEN RD, BRANDON, FL 33511-5911
(137) 553-5008
(813) 755-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11008983
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11008983
FL
Other
Enumeration date
01/27/2022
Last updated
12/15/2022
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