Individual
DR. RODNEY A. FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4202 E FOWLER AVE STOP SHS100, TAMPA, FL 33620-6750
(813) 974-2331
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-2812
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
106965
FL
208D00000X
General Practice Physician
ME106965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021164200
—
FL
01
—
XDJNL
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/02/2005
Last updated
10/29/2020
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