Healthcare Provider Details

I. General information

NPI: 1891260725
Provider Name (Legal Business Name): BENITO ANGELO RODRIGUEZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 66TH ST N
PINELLAS PARK FL
33781-5030
US

IV. Provider business mailing address

6500 66TH ST N
PINELLAS PARK FL
33781-5030
US

V. Phone/Fax

Practice location:
  • Phone: 813-499-1500
  • Fax: 813-499-1499
Mailing address:
  • Phone: 813-499-1500
  • Fax: 813-499-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9392272
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: