MEDICARE: BIANCA RODRIGUEZ ARNP

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	APRN11036615	FL

General Provider Information

NPI Number	:	1487469391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIANCA RODRIGUEZ ARNP

Provider Business Mailing Address
First Line	:	3902 BAJA DR
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34772-8152
Country	:	US
Telephone Number	:	973-897-8699
Fax Number	:

Provider Business Practice Location Address
First Line	:	1090 N ORLANDO AVE STE 102
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-2264
Country	:	US
Telephone Number	:	321-966-1117
Fax Number	:

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

Provider Enumeration Date	:	02/08/2025
Last Update Date	:	02/08/2025

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