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NPI Code Detail

MEDICARE: MAURO RODRIGUEZ, M.D.

MEDICARE: MAURO RODRIGUEZ, M.D.
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
12084P0800XPsychiatry PhysicianME0024891FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
252915OTHERFLBLUE CROSS & BLUE SHIELD OF FLORIDA

General Provider Information

NPI Number : 1124385778
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAURO RODRIGUEZ, M.D.
Provider Business Mailing Address
First Line : 611 DRUID RD E STE 506
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3938
Country : US
Telephone Number : 727-600-8090
Fax Number : 727-600-8088
Provider Business Practice Location Address
First Line : 611 DRUID RD E STE 506
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3938
Country : US
Telephone Number : 727-600-8090
Fax Number : 727-600-8088
Authorized Official
Title or Position : PROVIDER
Name : DR. MAURO RODRIGUEZ
Credential : M.D.
Telephone Number : 727-600-8090
Provider Enumeration Date : 04/20/2012
Last Update Date : 11/20/2012

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