Individual
MISS ELLEN DIANNE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 DELAWARE AVE, FORT PIERCE, FL 34950-3975
(772) 461-1402
(772) 461-9795
Mailing address
4450 S TIFFANY DR, WEST PALM BEACH, FL 33407-3241
(561) 844-9443
(561) 844-1013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME112772
FL
Other
Enumeration date
09/26/2005
Last updated
03/11/2013
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