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NPI Code Detail

MEDICARE: DR. OFELIO RODRIGUEZ M.D.

MEDICARE: DR. OFELIO 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
1208M00000XHospitalist Physician54011TN
2208M00000XHospitalist PhysicianME78247FL
3207P00000XEmergency Medicine Physician54011TN

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 : 1952339855
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OFELIO RODRIGUEZ M.D.
Provider Business Mailing Address
First Line : 5130 SUNFOREST DR STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33634-6327
Country : US
Telephone Number : 727-824-0780
Fax Number : 727-514-8891
Provider Business Practice Location Address
First Line : 8327 W ATLANTIC BLVD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-7452
Country : US
Telephone Number : 954-558-9686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 11/23/2021

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