Rodriguez, Rosana

Rodriguez, Rosana is an individual health care provider with primary practice located at 6 Saint Johns Medical Park Dr , St Augustine FL 32086-4233. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Rodriguez, Rosana can be contacted via phone (904) 823-3301.

Contact Information

Primary practice address
6 Saint Johns Medical Park Dr St Augustine FL 32086-4233
Phone: (904) 823-3301
Fax: (904) 823-3328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2734 Florida

Profile Details

NPI number 1578576179
LBN Legal business name Rodriguez, Rosana
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Oct 16th, 2015 - about 11 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 1578576179 NPPES
Other 480027595 RR MEDICARE
Other P02734 RR MEDICARE

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