Healthcare Provider Details

I. General information

NPI: 1255789194
Provider Name (Legal Business Name): INES JACQUELINE RODRIGUEZ-CAPOTE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9441 HEALTH CENTER DR
LAND O LAKES FL
34637-5837
US

IV. Provider business mailing address

13067 N TELECOM PKWY
TEMPLE TERRACE FL
33637-0926
US

V. Phone/Fax

Practice location:
  • Phone: 813-903-3700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9319238
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberARNP9319238
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberARNP 9319238
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9319238
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: