Individual
FIORELLA QUEIROLO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5950 S FLORIDA AVE, LAKELAND, FL 33813-2532
(863) 688-3550
Mailing address
5080 HANOVER LN, LAKELAND, FL 33813-2816
(202) 674-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME139789
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102520000
—
FL
Enumeration date
03/17/2016
Last updated
07/24/2019
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