Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME86127 | FL |
Y | 207RX0202X | Medical Oncology | ME86127 | FL |
NPI | 1043258270 |
---|---|
Provider Name | Dr. Francisco A. Rodriguez |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Fort Myers, FL 33908-4156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275337500 | (05) | FL |
52868 | BLUE CROSS BLUE SHIELD (01) | FL |
I54912 | (02) | FL |
P00608129 | RR MEDICARE (01) | FL |