Individual
DR. GEORGIA ROCHA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9350 CAMELOT DR, FORT MYERS, FL 33919-7980
(239) 481-5437
(239) 481-1902
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME80632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013683B
HUMANA
FL
01
—
202448
STAYWELL
FL
05
—
260206700
—
FL
01
—
51850
BC/BS OF FLORIDA
FL
Enumeration date
11/15/2005
Last updated
03/19/2020
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