Individual
MR. EDGAR A. RODRIGUEZ JOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
135 W 49TH ST, HIALEAH, FL 33012-3711
(305) 325-5511
Mailing address
18780 SW 25TH CORT, MIRAMAR, FL 33029
(754) 260-8630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9510181
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11018390
FL
Other
Enumeration date
02/21/2022
Last updated
10/04/2024
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