Healthcare Provider Details

I. General information

NPI: 1699043653
Provider Name (Legal Business Name): FILI-MELE RODRIGUEZ CPO, FAAOP ,LPO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 03/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 CYPRESS WAY E STE 60
NAPLES FL
34110-9275
US

IV. Provider business mailing address

90 CYPRESS WAY E STE 60
NAPLES FL
34110-9275
US

V. Phone/Fax

Practice location:
  • Phone: 239-307-5520
  • Fax: 239-236-7257
Mailing address:
  • Phone: 239-307-5520
  • Fax: 239-236-7257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberPOR259
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberPOR259
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: