MEDICARE: ZINNIA RODRIGUEZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11040035	FL

General Provider Information

NPI Number	:	1134519432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZINNIA RODRIGUEZ APRN

Provider Business Mailing Address
First Line	:	2338 IMMOKALEE RD # 268
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34110-1445
Country	:	US
Telephone Number	:	239-784-2173
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 US HIGHWAY 27 S
Second Line	:
City	:	SOUTH BAY
State	:	FL
Zip	:	33493-2233
Country	:	US
Telephone Number	:	239-784-2173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2015
Last Update Date	:	06/13/2025

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