MEDICARE: ENID MAGALI RODRIGUEZ DNP ARNP FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SF0001X	Family Health Clinical Nurse Specialist	11026980	FL
2	363LF0000X	Family Nurse Practitioner	APRN11026980	FL

General Provider Information

NPI Number	:	1114602398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENID MAGALI RODRIGUEZ DNP ARNP FNP-C

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 365
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-7010
Country	:	US
Telephone Number	:	786-322-7333
Fax Number	:	786-347-5022

Provider Business Practice Location Address
First Line	:	1233 SAND LAKE RD STE 8
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7084
Country	:	US
Telephone Number	:	407-232-6160
Fax Number	:	407-220-1975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	12/02/2025

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