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Individual

MAURICIO RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED.

Contact information

Practice address
668 N ORLANDO AVE, SUITE 210, MAITLAND, FL 32751-4473
(407) 261-0523
Mailing address
809 GOVERNORS AVE, ORLANDO, FL 32808-7026
(407) 375-4748

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R362540654070
FL

Other

Enumeration date
10/15/2012
Last updated
10/15/2012
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