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NPI Code Detail

MEDICARE: JORGE RODRIGUEZ JR.

MEDICARE:   JORGE  RODRIGUEZ JR.
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
1342000000XTransportation Network CompanyFL

General Provider Information

NPI Number : 1558218735
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE RODRIGUEZ JR.
Provider Business Mailing Address
First Line : 26715 CIGAR LN
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-1520
Country : US
Telephone Number : 727-871-7745
Fax Number :
Provider Business Practice Location Address
First Line : 26715 CIGAR LN
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-1520
Country : US
Telephone Number : 727-871-7745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ JORGE RODRIGUEZ JR. ” Practice Location

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