| Luis C Rodriguez | |
|
12017 Cortez Blvd Brooksville FL 34613-7372 | |
| (352) 597-0042 | |
| (352) 597-0091 |
| Full Name | Luis C Rodriguez |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12017 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Luis Carlos Rodriguez (OWNER) |
| Authorized Official Contact | 3525970042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis C Rodriguez 12017 Cortez Blvd Brooksville FL 34613-7372 Ph: (352) 597-0042 | Luis C Rodriguez 12017 Cortez Blvd Brooksville FL 34613-7372 Ph: (352) 597-0042 |
| NPI Number | 1306018494 |
|---|---|
| Provider Enumeration Date | 03/28/2008 |
| Last Update Date | 03/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306018494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME55131 (Florida) | Primary |
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