Organization
JEEVAN DIPTEE RODRIGUES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEEVAN DIPTEE RODRIGUES MD (OWNER)
(727) 743-9158
Entity
Organization
Contact information
Practice address
810 116TH AVE, TREASURE ISLAND, FL 33706-1017
(727) 743-9158
Mailing address
810 116TH AVE, TREASURE ISLAND, FL 33706-1017
(727) 743-9158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME89856
FL
Other
Enumeration date
07/16/2007
Last updated
04/20/2008
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