MEDICARE: ARMINDA RODRIGUEZ, MSW, LCSW, P.A

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770818163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMINDA RODRIGUEZ, MSW, LCSW, P.A

Provider Business Mailing Address
First Line	:	1835 NE MIAMI GARDENS DR
Second Line	:	SUITE 209
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5035
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1835 NE MIAMI GARDENS DR
Second Line	:	SUITE 209
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33179-5035
Country	:	US
Telephone Number	:	786-877-5143
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. ARMINDA RODRIGUEZ
Credential	:	LCSW
Telephone Number	:	786-877-5143

Provider Enumeration Date	:	10/02/2009
Last Update Date	:	01/11/2011

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