| Albert Rodriguez M.d., P.a. | |
|
3353 W Bearss Ave Tampa FL 33618-2100 | |
| (813) 908-5827 | |
| (813) 908-6132 |
| Full Name | Albert Rodriguez M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3353 W Bearss Ave, Tampa, Florida |
| Authorized Official Name and Position | Albert Rodriguez (PRESIDENT) |
| Authorized Official Contact | 8139085827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert Rodriguez M.d., P.a. 3353 W Bearss Ave Tampa FL 33618-2100 Ph: (813) 908-5827 | Albert Rodriguez M.d., P.a. 3353 W Bearss Ave Tampa FL 33618-2100 Ph: (813) 908-5827 |
| NPI Number | 1053612960 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 7517142565 |
|---|---|
| Medicare Enrollment ID | O20110506000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053612960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0048061 (Florida) | Primary |
| Provider Name | Albert Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184739898 PECOS PAC ID: 3476738436 Enrollment ID: I20110506000457 |
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