Rodriguez, Lorraine

Rodriguez, Lorraine is an individual health care provider with primary practice located at 6879 Southpoint Dr N , Jacksonville FL 32216-6179. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Rodriguez, Lorraine can be contacted via phone (904) 296-2441.

Contact Information

Primary practice address
6879 Southpoint Dr N Jacksonville FL 32216-6179
Fax: (904) 821-3113
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME73604 Florida
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME73604 Florida

Profile Details

NPI number 1427054220
LBN Legal business name Rodriguez, Lorraine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Apr 1st, 2016 - about 8 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 1427054220 NPPES
Florida MEDICAID 253363400

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