| Dr Wilson Omar Rodriguez, PA | |
|
217 E Central Ave, Winter Haven, FL 33880-6312 | |
| (407) 315-3637 | |
| Not Available |
| Full Name | Dr Wilson Omar Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 217 E Central Ave, Winter Haven, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063268209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2146-PA (Puerto Rico) | Secondary |
| 363AM0700X | Physician Assistant - Medical | TPPA690 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wilson Omar Rodriguez, PA Po Box 532, Lake Alfred, FL 33850-0532 Ph: (407) 315-3637 | Dr Wilson Omar Rodriguez, PA 217 E Central Ave, Winter Haven, FL 33880-6312 Ph: (407) 315-3637 |
Heather Bonifay Nelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 151 2nd St Sw, Winter Haven, FL 33880 Phone: 863-288-0960 Fax: 863-288-0963 | |
Ann Mccullough Efremoski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-291-1121 | |
Mr. Lazaro Yadier Guerrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne Ste 9118, Winter Haven, FL 33881 Phone: 863-297-1777 Fax: 863-297-1756 | |
Elizabeth Margaret Ennis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 550 Pope Ave Nw Ste 200, Winter Haven, FL 33881 Phone: 863-299-2630 | |
Shyam Kumar Rajendra Injety, MMS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Erin Doucey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 6th Street Se, Winter Haven, FL 33880 Phone: 863-419-9301 Fax: 863-419-9304 |