Rodriguez, Carlos R

Rodriguez, Carlos R is an individual health care provider with primary practice located at 14100 58Th St N , Clearwater FL 33760-9900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Rodriguez, Carlos R can be contacted via phone (727) 824-8181.

Contact Information

Primary practice address
14100 58Th St N Clearwater FL 33760-9900
Phone: (727) 824-8181
Fax: (727) 824-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME82799 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME82799 Florida

Profile Details

NPI number 1538164157
LBN Legal business name Rodriguez, Carlos R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538164157 NPPES
Florida MEDICAID 265512800

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