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NPI Code Detail

MEDICARE: DR. JOSE E RODRIGUEZ SR. MD

MEDICARE: DR. JOSE E RODRIGUEZ SR. MD
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
1207Q00000XFamily Medicine PhysicianME94554FL

General Provider Information

NPI Number : 1447466081
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSE E RODRIGUEZ SR. MD
Provider Business Mailing Address
First Line : 1115 W CALL ST # 3210M
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32304-3556
Country : US
Telephone Number : 850-645-6850
Fax Number : 850-645-6850
Provider Business Practice Location Address
First Line : 1115 W CALL ST # 3210M
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32304-3556
Country : US
Telephone Number : 850-645-6850
Fax Number : 850-645-6850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 11/16/2021

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