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NPI Code Detail

MEDICARE: MARIE RODRIGUEZ MD

MEDICARE: MARIE RODRIGUEZ MD
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
1207R00000XInternal Medicine PhysicianME77642FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00669495OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144249954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE RODRIGUEZ MD
Provider Business Mailing Address
First Line : 9753 S ORANGE BLOSSOM TRL
Second Line : STE 102
City : ORLANDO
State : FL
Zip : 32837-7841
Country : US
Telephone Number : 407-412-5985
Fax Number : 407-412-5987
Provider Business Practice Location Address
First Line : 931 W OAK ST
Second Line : STE 103
City : KISSIMMEE
State : FL
Zip : 34741-4973
Country : US
Telephone Number : 407-931-0444
Fax Number : 407-962-4446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/12/2011

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Directions to “ MARIE RODRIGUEZ MD” Practice Location

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