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Contact Information

RAFAEL M RODRIGUEZ
401 N PARSON AVE
# 105
BRANDON, FL33510
 Phone: 813-653-2775
 Fax: 813-653-4521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for RAFAEL M RODRIGUEZ · (Male)

NPI Number 1669449963
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2006
Last updated 08/03/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0043683
  • FL Medicaid 045795700
  • FL Other 130004554 MEDICARE RAILROAD
Hospital affiliation(s)
  • ST JOSEPH'S HOSPITAL - (Acute Care)
    3001 W MARTIN LUTHER KING JR BLVD
    TAMPA, FL 33677
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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