Rodriguez, Jessica M

Rodriguez, Jessica M is an individual health care provider with primary practice located at 13101 Bruce B Dwn Blvd # 105 , Tampa FL 33612-3803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Rodriguez, Jessica M can be contacted via phone (813) 259-8700.

Contact Information

Primary practice address
13101 Bruce B Dwn Blvd # 105 Tampa FL 33612-3803
Phone: (813) 259-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X ME132860 Florida

Profile Details

NPI number 1174848378
LBN Legal business name Rodriguez, Jessica M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Oct 27th, 2020 - about 5 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 1174848378 NPPES
Florida Other DX4TM BLUE CROSS BLUE SHIELD
Florida MEDICAID 021902500 BLUE CROSS BLUE SHIELD

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