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NPI Code Detail

MEDICARE: YAIMA RODRIGUEZ APRN

MEDICARE: YAIMA RODRIGUEZ APRN
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 Practitioner11005305FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner11005305FL

General Provider Information

NPI Number : 1609414135
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAIMA RODRIGUEZ APRN
Provider Business Mailing Address
First Line : 13021 W LINEBAUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33626-4509
Country : US
Telephone Number : 786-449-7759
Fax Number : 656-228-9536
Provider Business Practice Location Address
First Line : 13021 W LINEBAUGH AVE
Second Line :
City : TAMPA
State : FL
Zip : 33626-4509
Country : US
Telephone Number : 864-497-7597
Fax Number : 656-228-9536
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2019
Last Update Date : 07/02/2025

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Directions to “ YAIMA RODRIGUEZ APRN” Practice Location

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