Individual
JACQUELINE ELISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9111 PARK DR, MIAMI SHORES, FL 33138-3159
(305) 756-6110
Mailing address
1103 NE 116TH ST, BISCAYNE PARK, FL 33161-6745
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118582
FL
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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