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Liset Rodriguez

Clinic/Center, Developmental Disabilities in Davie, FL. Individual provider (NPI-1).

NPI number1043804263
StatusActive
Last updated in NPPESMar 26, 2024

Details

NPI
1043804263
Entity type
Individual (NPI-1)
Name
Liset Rodriguez
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 28, 2021
Certification date
Mar 26, 2024
Last updated
Mar 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD1600X Clinic/Center, Developmental Disabilities–FLYes

Practice location

6370 Griffin Rd
Davie, FL 33314-4424

Phone 305-903-5867

Mailing address

6350 Griffin Rd
Davie, FL 33314-4424

Phone 305-903-5867

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