Healthcare Provider Details

I. General information

NPI: 1578280475
Provider Name (Legal Business Name): DEBORAH RHODA CABALLERO RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6325 N HIGHWAY 27 STE 201
SEBRING FL
33870-8226
US

IV. Provider business mailing address

1404 TROPICAL OASIS AVE
PLANT CITY FL
33565-5963
US

V. Phone/Fax

Practice location:
  • Phone: 863-382-9600
  • Fax: 863-382-0107
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11022395
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11022395
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: