Individual
CARLA MARIELA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10199 SW EUDORA ST, PORT SAINT LUCIE, FL 34987-2023
(954) 604-1085
Mailing address
10199 SW EUDORA ST, PORT SAINT LUCIE, FL 34987-2023
(954) 604-1085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12319
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ5717
FL
Other
Enumeration date
02/20/2012
Last updated
04/10/2026
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