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Individual

ANGEL RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
1575 SW 122ND AVE APT 1, MIAMI, FL 33184-2895
(786) 487-0840
Mailing address
167 W 23RD ST, HIALEAH, FL 33010-2211
(305) 823-3312
(786) 360-2327

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9428842
FL

Other

Enumeration date
06/28/2018
Last updated
10/04/2018
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