Healthcare Provider Details

I. General information

NPI: 1700627585
Provider Name (Legal Business Name): MONICA RODRIGUEZ MSN APRN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 E OAK ST STE 1
KISSIMMEE FL
34744-4576
US

IV. Provider business mailing address

805 E OAK ST STE 1
KISSIMMEE FL
34744-4576
US

V. Phone/Fax

Practice location:
  • Phone: 407-933-0021
  • Fax:
Mailing address:
  • Phone: 407-933-0021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberAPRN11032162
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM09309
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: