Individual
RICHARD RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5017 S WEST SHORE BLVD APT 34, TAMPA, FL 33611-3368
(813) 399-6709
Mailing address
5017 S WEST SHORE BLVD APT 34, TAMPA, FL 33611-3368
(813) 399-6709
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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