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NPI Code Detail

MEDICARE: MARIAN RODRIGUEZ APRN

MEDICARE: MARIAN 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
1363LW0102XWomen's Health Nurse Practitioner9279205FL

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 : 1558367979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAN RODRIGUEZ APRN
Provider Business Mailing Address
First Line : 800 CLEMATIS ST STE 5-531
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5107
Country : US
Telephone Number : 561-671-4036
Fax Number :
Provider Business Practice Location Address
First Line : 225 S CONGRESS AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4616
Country : US
Telephone Number : 561-274-3100
Fax Number : 561-266-6629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 09/22/2020

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