Doctor Name: | SHEYDY FARAH RODRIGUEZ |
NPI Number: | 1427244839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 18034 |
Business Practice Address: | 1144 Cypress Glenn Circle Kissimmee, FL - 34741 |
Business Phone Number: | 4075835900 |
Business Fax Number: | |
Mailing Address: | 495 Britten Drive, KISSIMMEE |
State: | FL |
Postal Code: | 34758 |
Phone Number: | 7876359703 |
Fax Number: | |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 12/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 18034 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |