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Individual

ROLANDO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
654 NE 9TH PL, HOMESTEAD, FL 33030-4934
(305) 248-3488
Mailing address
10364 FAIRWAY HEIGHTS BLVD, MIAMI, FL 33157-1559
(305) 401-5232

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CBHCM102203-P
FLORIDA CERTIFICATION BOARD
FL
Enumeration date
08/09/2018
Last updated
08/09/2018
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