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NPI Code Detail

MEDICARE: DR. RODOLFO F RODRIGUEZ M.D.

MEDICARE:  DR. RODOLFO F RODRIGUEZ  M.D.
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
1207R00000XInternal Medicine PhysicianME91355FL

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 : 1750367611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODOLFO F RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 1000 E IRLO BRONSON MEMORIAL HWY
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-4745
Country : US
Telephone Number : 407-564-3699
Fax Number : 407-593-9413
Provider Business Practice Location Address
First Line : 1000 E IRLO BRONSON MEMORIAL HWY
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-4745
Country : US
Telephone Number : 407-564-3699
Fax Number : 407-593-9413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 03/10/2025

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