Individual
PAYTON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1205 S WOODLAND BLVD STE 4, DELAND, FL 32720-7464
(386) 202-6025
Mailing address
1205 S WOODLAND BLVD STE 3, DELAND, FL 32720-7464
(386) 202-6025
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9394625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100545400
—
FL
Enumeration date
08/01/2018
Last updated
07/27/2021
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