Healthcare Provider Details

I. General information

NPI: 1164280061
Provider Name (Legal Business Name): FRANCES JOAN RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 SOUTH DR STE 404
MIAMI SPRINGS FL
33166-5926
US

IV. Provider business mailing address

11250 NW 16TH CT
PEMBROKE PINES FL
33026-4418
US

V. Phone/Fax

Practice location:
  • Phone: 954-299-6730
  • Fax:
Mailing address:
  • Phone: 954-299-6730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: