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NPI Code Detail

MEDICARE: ANGELA MARIE RODRIGUEZ ARNP, FNP-C

MEDICARE: ANGELA MARIE RODRIGUEZ ARNP, FNP-C
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
1363LF0000XFamily Nurse PractitionerARNP9325272FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
290I7SOTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720569395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE RODRIGUEZ ARNP, FNP-C
Provider Business Mailing Address
First Line : 14057 NOTREVILLE WAY
Second Line :
City : TAMPA
State : FL
Zip : 33624-6955
Country : US
Telephone Number : 813-732-3224
Fax Number :
Provider Business Practice Location Address
First Line : 1929 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9202
Country : US
Telephone Number : 813-991-1293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2018
Last Update Date : 04/25/2022

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