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General NPI Number Information
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NPI Number | 1235577164
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Entity Type | Individual
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Provider Name | FELIX NICOLAS RODRIGUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 8230 SW 144TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1424
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Country | US
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Telephone | 305-209-1978
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Fax |
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Provider Business Mailing Address
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Address Line | 8230 SW 144TH ST
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City | PALMETTO BAY
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State | FL
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Zip | 33158-1424
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Country | US
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Telephone | 305-209-1978
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036.144963
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 43516
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME121067
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License Number State | FL
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