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NPI Code Detail

MEDICARE: DR. RODRIGO JULIAN PODESTA DO

MEDICARE:  DR. RODRIGO JULIAN PODESTA  DO
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
12084P0800XPsychiatry PhysicianOS23789FL

General Provider Information

NPI Number : 1861251381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODRIGO JULIAN PODESTA DO
Provider Business Mailing Address
First Line : 201 14TH ST SW
Second Line :
City : LARGO
State : FL
Zip : 33770-3133
Country : US
Telephone Number : 727-588-5704
Fax Number :
Provider Business Practice Location Address
First Line : 201 14TH ST SW
Second Line :
City : LARGO
State : FL
Zip : 33770-3133
Country : US
Telephone Number : 727-588-5704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 06/12/2026

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Directions to “ DR. RODRIGO JULIAN PODESTA DO” Practice Location

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