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NPI Code Detail

MEDICARE: HANNAH N RODRIGUEZ PA

MEDICARE: HANNAH N RODRIGUEZ PA
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
1363A00000XPhysician Assistant9121164FL

General Provider Information

NPI Number : 1861386203
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH N RODRIGUEZ PA
Provider Business Mailing Address
First Line : 9390 SETTLER AVE
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32309-9768
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 PINELLAS ST
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3892
Country : US
Telephone Number : 727-462-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 01/19/2026

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