Individual
DR. MARIO S. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12169 WEST LINEBAUGH AVE, TAMPA, FL 33626
(813) 386-6800
Mailing address
12167 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 386-6800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6792
FL
Other
Enumeration date
07/18/2006
Last updated
08/10/2018
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