MEDICARE: ROSEMARIE FIDELA 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	363LP0200X	Pediatric Nurse Practitioner	ARNP9336474	FL

General Provider Information

NPI Number	:	1568878049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE FIDELA RODRIGUEZ ARNP

Provider Business Mailing Address
First Line	:	4150 WOODLANDS PKWY
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3495
Country	:	US
Telephone Number	:	727-372-6760
Fax Number	:	727-372-6808

Provider Business Practice Location Address
First Line	:	4150 WOODLANDS PKWY
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-3495
Country	:	US
Telephone Number	:	727-372-6760
Fax Number	:	727-372-6808

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

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	01/24/2017

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