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NPI Code Detail

MEDICARE: MRS. DARA SHAMAR RODRIGUEZ M.S.

MEDICARE:  MRS. DARA SHAMAR RODRIGUEZ  M.S.
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
1235Z00000XSpeech-Language PathologistSA11779FL

General Provider Information

NPI Number : 1366747206
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARA SHAMAR RODRIGUEZ M.S.
Provider Business Mailing Address
First Line : 822 SW 14TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2132
Country : US
Telephone Number : 239-237-7454
Fax Number :
Provider Business Practice Location Address
First Line : 822 SW 14TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2132
Country : US
Telephone Number : 239-237-7454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2011
Last Update Date : 05/23/2025

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Directions to “ MRS. DARA SHAMAR RODRIGUEZ M.S.” Practice Location

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