Individual
MR. MARIO GREGORIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3056 SANDSTONE CIRCLE, ST CLOUD, FL 34772
(407) 957-7819
Mailing address
3056 SANDSTONE CIR, SAINT CLOUD, FL 34772-6525
(407) 957-7819
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT 11740
FL
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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