Individual
MR. ANIBAL MONSERATE RODRIGUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(954) 262-5864
(954) 262-3893
Mailing address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(954) 262-5864
(954) 262-3893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00000001
FL
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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