| Rodriguez Telehealth Llc | |
|
14601 Durbin Island Way St Johns FL 32259-7067 | |
| (305) 490-5128 | |
| Not Available |
| Full Name | Rodriguez Telehealth Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14601 Durbin Island Way, St Johns, Florida |
| Authorized Official Name and Position | Rhonda Rodriguez (MANAGER) |
| Authorized Official Contact | 4699154211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodriguez Telehealth Llc 14601 Durbin Island Way St Johns FL 32259-7067 Ph: (305) 490-5128 | Rodriguez Telehealth Llc 14601 Durbin Island Way St Johns FL 32259-7067 Ph: (305) 490-5128 |
| NPI Number | 1477265460 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 01/05/2024 |
| Medicare PECOS PAC ID | 5092169359 |
|---|---|
| Medicare Enrollment ID | O20230921000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477265460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Rhonda Joyce Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336612407 PECOS PAC ID: 6901250265 Enrollment ID: I20230921000168 |
Baptist Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Ardisia Ln, St Johns, FL 32259 Phone: 904-287-2794 Fax: 904-390-7458 |