Individual
MR. MARCOS ANTONIO RODRIGUEZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
96 PETER ISLAND DR, ST AUGUSTINE, FL 32092-7401
(904) 386-2595
Mailing address
96 PETER ISLAND DR, ST AUGUSTINE, FL 32092-7401
(904) 386-2595
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA34904
FL
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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