Individual
RICKY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W KENNEDY BLVD, TAMPA, FL 33606-1450
(813) 253-6264
Mailing address
4706 ROUNDVIEW CT, LAND O LAKES, FL 34639-6433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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