Organization
SUNSHINE PEDIATRICS OF CENTRAL FLORIDA, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD G RODRIGUEZ M.D. (OWNER)
(407) 215-0400
Entity
Organization
Contact information
Practice address
210 LOOKOUT PL, MAITLAND, FL 32751-4491
(407) 215-0400
(407) 215-0402
Mailing address
210 LOOKOUT PL, MAITLAND, FL 32751-4491
(407) 215-0400
(407) 215-0402
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME60714
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055953900
—
FL
01
—
1206414
UHC MEDICAID
FL
Enumeration date
08/07/2006
Last updated
09/03/2024
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