Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 62261 | MN |
Y | 2080P0204X | Pediatric Emergency Doctor | 145651 | FL |
NPI | 1285981589 |
---|---|
Provider Name | Dr. Normaliz Rodriguez |
First Address | Pinecrest, FL 33156-2058 |
Second Address | St Petersburg, FL 33701-4630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2012 |
Last Update Date | 18/09/2020 |