Healthcare Provider Details

I. General information

NPI: 1780338749
Provider Name (Legal Business Name): GIANA EILEEN RODRIGUEZ GONZALEZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8095 SPYGLASS HILL RD STE 102
MELBOURNE FL
32940-8290
US

IV. Provider business mailing address

8095 SPYGLASS HILL RD STE 102
MELBOURNE FL
32940-8290
US

V. Phone/Fax

Practice location:
  • Phone: 321-329-5444
  • Fax: 321-999-9411
Mailing address:
  • Phone: 321-329-5444
  • Fax: 321-999-9411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH13814
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: