| Odarkys Rodriguez Rodriguez, | |
|
11531 N 56th St Ste 103, Temple Terrace, FL 33617-2238 | |
| (813) 999-4963 | |
| Not Available |
| Full Name | Odarkys Rodriguez Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11531 N 56th St Ste 103, Temple Terrace, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932816311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F10221283 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11022765 (Florida) | Primary |
| Entity Name | Rodolfo Dumenigo Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932150919 PECOS PAC ID: 8325030737 Enrollment ID: O20040402000858 |
| Entity Name | Conviva Medical Center Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | Miami Beach Medical Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891032819 PECOS PAC ID: 2365807799 Enrollment ID: O20230508001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Odarkys Rodriguez Rodriguez, 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (305) 500-2000 | Odarkys Rodriguez Rodriguez, 11531 N 56th St Ste 103, Temple Terrace, FL 33617-2238 Ph: (813) 999-4963 |
Ofelia Maria Chou, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637 Phone: 813-871-8183 Fax: 813-871-8184 | |
Viviane L Goncalves, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 303-261-7664 | |
Ms. Tracy L Czop, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13067 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 813-779-6303 Fax: 888-977-1998 | |
Ashley Nichole Christie, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 Fax: 843-790-1953 | |
Shawna Lord, MS, ARNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12662 Telecom Dr, Temple Terrace, FL 33637 Phone: 813-910-0030 | |
Mischa Nicole Tice, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13020 N Telecom Pkwy, Temple Terrace, FL 33637 Phone: 228-363-4729 | |
Amanda Parker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5205 E Fletcher Ave, Temple Terrace, FL 33617 Phone: 813-987-2911 Fax: 813-987-2853 |