Individual
MRS. KELLIE MICHELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
1450 NW 10TH AVE, MIAMI, FL 33136-1011
(305) 243-4090
(305) 243-5791
Mailing address
1500 NW 12TH AVE STE 1007, MIAMI, FL 33136-1046
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
RN 9244645
FL
Other
Enumeration date
07/13/2010
Last updated
12/07/2010
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