Rodriguez, Ellen Dianne

Rodriguez, Ellen Dianne is an sole proprietor health care provider with primary practice located at 1505 Delaware Ave , Fort Pierce FL 34950-3975. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rodriguez, Ellen Dianne can be contacted via phone (772) 461-1402.

Contact Information

Primary practice address
1505 Delaware Ave Fort Pierce FL 34950-3975
Phone: (772) 461-1402
Fax: (772) 461-9795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME112772 Florida

Profile Details

NPI number 1952397978
LBN Legal business name Rodriguez, Ellen Dianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Mar 11th, 2013 - about 13 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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