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Individual

IDALMIS M RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
805 E OAK ST, KISSIMMEE, FL 34744-4576
(407) 933-0021
(407) 933-1490
Mailing address
805 E OAK ST, KISSIMMEE, FL 34744-4576
(407) 933-0021
(407) 933-1490

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9209256
FL
363LW0102X
Women's Health Nurse Practitioner
ARNP9209256
FL

Other

Enumeration date
02/15/2006
Last updated
09/20/2012
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