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Individual

MERCEDES C. RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MBA

Contact information

Practice address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-4428
(407) 343-2006
(407) 343-2002
Mailing address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-4428
(407) 343-2006
(407) 343-2002

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 48279
FL
2083P0901X
Public Health & General Preventive Medicine Physician
ME 48279
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280923100
FL
Enumeration date
08/27/2006
Last updated
01/08/2009
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