Individual
EGON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9024 SW 112TH CT, MIAMI, FL 33176-1171
(305) 733-0523
Mailing address
9024 SW 112TH CT, MIAMI, FL 33176-1171
(305) 733-0523
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11015144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11015144
APRN LICENSE
FL
Enumeration date
09/28/2021
Last updated
10/01/2025
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