Individual
GRETCHEN JOSEFINA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
308 W BASS ST, KISSIMMEE, FL 34741-5001
(407) 933-1760
(407) 933-8060
Mailing address
308 W BASS ST, KISSIMMEE, FL 34741-5001
(407) 483-8801
(407) 483-1298
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17411
PR
208D00000X
General Practice Physician
Primary
ACN936
FL
Other
Enumeration date
08/26/2009
Last updated
03/07/2023
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