MEDICARE: VIRGINIO RODRIGUEZ

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	208000000X	Pediatrics Physician	ME566488	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1720181357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRGINIO RODRIGUEZ

Provider Business Mailing Address
First Line	:	345 CLYDE MORRIS BLVD
Second Line	:	SUITE 360
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-3114
Country	:	US
Telephone Number	:	386-677-8880
Fax Number	:	386-677-9880

Provider Business Practice Location Address
First Line	:	345 CLYDE MORRIS BLVD
Second Line	:	SUITE 360
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-3114
Country	:	US
Telephone Number	:	386-677-8880
Fax Number	:	386-677-9880

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	12/04/2017

Similar Medicare Providers

1154712941 — MARGARET CRADDOCK
Practice Location Address:

345 CLYDE MORRIS BLVD STE 450
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-3933
Practice Fax:

1629020961 — TOMOKA EYE ASSOCIATES PA
Practice Location Address:

345 CLYDE MORRIS BLVD , SUITE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

1154408904 — DR. JOSEPH MICHAEL ZOBIAN M.D.
Practice Location Address:

345 CLYDE MORRIS BLVD STE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

1780703744 — KARIN L SCHOELER O.D.
Practice Location Address:

345 CLYDE MORRIS BLVD
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

1033322078 — DR. TIMOTHY D ROOT M.D.
Practice Location Address:

345 N CLYDE MORRIS BLVD , SUITE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax:

1558569608 — DR. THOMAS MATTHEW KLINE O.D.
Practice Location Address:

345 CLYDE MORRIS BLVD , SUITE 330
ORMOND BEACH, FL
32174-3114

Practice Phone: 386-672-4244
Practice Fax: 386-672-0603

Directions to “ VIRGINIO RODRIGUEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.