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NPI Code Detail

MEDICARE: DR. MAURO RODRIGUEZ M.D.

MEDICARE: DR. MAURO RODRIGUEZ M.D.
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
12084P0800XPsychiatry PhysicianME0024891FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144293721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAURO RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 418 LEEWARD IS
Second Line :
City : CLEARWATER
State : FL
Zip : 33767-2309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1437 S BELCHER RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33764-2829
Country : US
Telephone Number : 727-524-4464
Fax Number : 727-538-7272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 03/13/2023

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