Rodriguez, Alexis

Rodriguez, Alexis is an individual health care provider with primary practice located at 5533 Sw 64Th St , Gainesville FL 32608-9608. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rodriguez, Alexis can be contacted via phone (352) 271-5967.

Contact Information

Primary practice address
5533 Sw 64Th St Gainesville FL 32608-9608
Phone: (352) 271-5967
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2781 Florida

Profile Details

NPI number 1003885161
LBN Legal business name Rodriguez, Alexis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003885161 NPPES
Florida MEDICAID 621044900

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