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General NPI Number Information
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NPI Number | 1568729036
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Entity Type | Individual
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Provider Name | IDANIA MEJIAS-RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 841 PRUDENTIAL DR STE 280
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8350
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Country | US
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Telephone | 904-697-3600
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Fax | 904-687-3927
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-244-4195
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Fax | 904-244-4908
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME126401
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License Number State | FL
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