MEDICARE: MARIBEL RODRIGUEZ APRN,FNP-C

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
1	363LP2300X	Primary Care Nurse Practitioner	11037753	FL

General Provider Information

NPI Number	:	1780481069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIBEL RODRIGUEZ APRN,FNP-C

Provider Business Mailing Address
First Line	:	1189 OUTLOOK DR
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-8344
Country	:	US
Telephone Number	:	407-728-9701
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 S SEMORAN BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-1771
Country	:	US
Telephone Number	:	407-728-9701
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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