Individual
DAVID RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(393) 431-1052
(239) 343-1106
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11016078
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11016078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113554200
—
FL
Enumeration date
02/12/2022
Last updated
04/04/2022
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