| Antonio L Rodriguez Md Pa | |
|
1801 Wingfield Dr Longwood FL 32779-2708 | |
| (407) 920-8037 | |
| (407) 830-9236 |
| Full Name | Antonio L Rodriguez Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 Wingfield Dr, Longwood, Florida |
| Authorized Official Name and Position | Delia Rodriguez (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 4079208037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio L Rodriguez Md Pa 1801 Wingfield Dr Longwood FL 32779-2708 Ph: (407) 920-8037 | Antonio L Rodriguez Md Pa 1801 Wingfield Dr Longwood FL 32779-2708 Ph: (407) 920-8037 |
| NPI Number | 1558536631 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 02/25/2013 |
| Medicare PECOS PAC ID | 6709914237 |
|---|---|
| Medicare Enrollment ID | O20100528000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558536631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Antonio Rodriguez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053300590 PECOS PAC ID: 1951489152 Enrollment ID: I20100715000644 |
| Provider Name | Michael L Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144528522 PECOS PAC ID: 6305024100 Enrollment ID: I20110627000331 |
| Provider Name | Rachel V Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245547116 PECOS PAC ID: 8426280975 Enrollment ID: I20140415001507 |
| Provider Name | Franchesca Marie Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518331511 PECOS PAC ID: 1557666872 Enrollment ID: I20160225000017 |
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