Organization
RANDOLPH RODRIGUEZ
Active
Other names
Randolph Rodriguez
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH RODRIGUEZ COTA (PRESIDENT)
(407) 558-5656
Entity
Organization
Contact information
Practice address
2434 BENJAMIN DR, KISSIMMEE, FL 34744-2722
(407) 558-5656
(321) 251-6542
Mailing address
2434 BENJAMIN DR, KISSIMMEE, FL 34744-2722
(407) 558-5656
(321) 251-6542
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
OTA 13834
FL
Other
Enumeration date
04/04/2015
Last updated
04/04/2015
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