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Individual

LIVAN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CBHCM

Contact information

Practice address
5826 ATLANTA ST, HOLLYWOOD, FL 33021-2718
(786) 587-0924
Mailing address
5826 ATLANTA ST, HOLLYWOOD, FL 33021-2718
(786) 587-0924

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
FL

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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