Individual
MR. GABRIEL OLAZARRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
6447 MIAMI LAKES DR STE 200E, MIAMI LAKES, FL 33014-2706
(786) 619-6398
Mailing address
6871 SW 129TH AVE APT 4, MIAMI, FL 33183-2459
(786) 619-6398
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM101771-P
FL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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