Individual
MELODY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9310 SUNSET DR, TAMPA, FL 33610-8424
(813) 391-8449
Mailing address
9310 SUNSET DR, TAMPA, FL 33610-8424
(813) 391-8449
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
230179200
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230179200
—
FL
Enumeration date
01/22/2019
Last updated
01/22/2019
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