Rodriguez, Evelyn
Rodriguez, Evelyn is an individual health care provider with primary practice located at 1565 Saxon Blvd Ste 102 , Deltona FL 32725-5823. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rodriguez, Evelyn can be contacted via phone (386) 917-7395.Contact Information
Primary practice address
1565 Saxon Blvd Ste 102
Deltona FL 32725-5823
Phone: (386) 917-7395
Fax: (386) 532-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00044960 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME145161 | Florida |
Profile Details
| NPI number | 1083791941 |
|---|---|
| LBN Legal business name | Rodriguez, Evelyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Sep 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083791941 | NPPES |
| Washington | Other | 8426819 | CHPW |
| Washington | Other | 9392RO | CHPW |
| Washington | MEDICAID | 8426819 | CHPW |
| Washington | Other | 0208233 | CHPW |
| Washington | Other | 911019392 | CHPW |
| Washington | MEDICAID | 106651100 | CHPW |
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