Individual
DR. CARLOS MANUEL RODRIGUEZ III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
65 CR 542W, BUSHNELL, FL 33513-4515
(352) 569-0100
Mailing address
18216 SANDY POINTE DR, TAMPA, FL 33647-3328
(305) 733-2600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN23484
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2018
Last updated
06/11/2026
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