Jessica M Rodriguez
Pediatric Nephrologist
13101 Bruce B Dwn Blvd # 105
Tampa
, Florida 33612-3803
Jessica M Rodriguez
Pediatric Nephrologist
13101 Bruce B Dwn Blvd # 105
Tampa
, Florida 33612-3803
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About
Features
Specialties
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Jessica M Rodriguez
- Po Box 917770
- Orlando, FL
- Zip : 32891-0001
- Phone :
Second Address
- Jessica M Rodriguez
- 13101 Bruce B Dwn Blvd # 105
- Tampa, FL
- Zip : 33612-3803
- Phone : (813) 259-8700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0210X | Pediatric Nephrologist | ME132860 | FL |
National Provider Identifier
| NPI | 1174848378 |
|---|---|
| Provider Name | Jessica M Rodriguez |
| First Address | Orlando, FL 32891-0001 |
| Second Address | Tampa, FL 33612-3803 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2010 |
| Last Update Date | 27/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 021902500 | (05) | FL |
| DX4TM | BLUE CROSS BLUE SHIELD (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.