| Mauro Rodriguez, M.d. | |
|
611 Druid Rd E Ste 506 Clearwater FL 33756-3938 | |
| (727) 600-8090 | |
| (727) 600-8088 |
| Full Name | Mauro Rodriguez, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 611 Druid Rd E Ste 506, Clearwater, Florida |
| Authorized Official Name and Position | Mauro Rodriguez (PROVIDER) |
| Authorized Official Contact | 7276008090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mauro Rodriguez, M.d. 611 Druid Rd E Ste 506 Clearwater FL 33756-3938 Ph: (727) 600-8090 | Mauro Rodriguez, M.d. 611 Druid Rd E Ste 506 Clearwater FL 33756-3938 Ph: (727) 600-8090 |
| NPI Number | 1124385778 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 11/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124385778 | NPI | - | NPPES |
| 057718900 | Medicaid | FL | |
| 52915 | Other | FL | BLUE CROSS & BLUE SHIELD OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0024891 (Florida) | Primary |
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