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NPI Code Detail

MEDICARE: GLENAN RODRIGUEZ ARNP

MEDICARE: GLENAN RODRIGUEZ ARNP
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
1363L00000XNurse PractitionerARNP9318067FL
2363L00000XNurse Practitioner9318067FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295235323
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENAN RODRIGUEZ ARNP
Provider Business Mailing Address
First Line : 12765 SW 210TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33177-5794
Country : US
Telephone Number : 305-450-2150
Fax Number :
Provider Business Practice Location Address
First Line : 3100 WESTON RD
Second Line :
City : WESTON
State : FL
Zip : 33331-3602
Country : US
Telephone Number : 786-596-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2018
Last Update Date : 07/08/2024

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