| Doctor Name: | MS. GERALDINE DIANA RODRIGUES-PRATT |
| NPI Number: | 1255499133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP 9208000 |
| Business Practice Address: | 315 West Town Place Suite 3 St. Augustine, FL - 320923105 |
| Business Phone Number: | 9049402200 |
| Business Fax Number: | 9049402201 |
| Mailing Address: | 315 W Town Pl, Suite 3 SAINT AUGUSTINE |
| State: | FL |
| Postal Code: | 320923104 |
| Phone Number: | 9049402200 |
| Fax Number: | 9049402201 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 08/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | ARNP 9208000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |