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NPI Code Detail

MEDICARE: JOANNA RODRIGUEZ

MEDICARE: JOANNA RODRIGUEZ
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
1183500000XPharmacistPS55400FL

General Provider Information

NPI Number : 1932709748
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA RODRIGUEZ
Provider Business Mailing Address
First Line : 301 S STATE ROAD 7
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6756
Country : US
Telephone Number : 754-260-6711
Fax Number : 754-260-6710
Provider Business Practice Location Address
First Line : 301 S STATE ROAD 7
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6756
Country : US
Telephone Number : 754-260-6711
Fax Number : 754-260-6710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2020
Last Update Date : 10/30/2020

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Directions to “ JOANNA RODRIGUEZ ” Practice Location

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