| Doctor Name: | JOSE JESUS RODRIGUEZ |
| NPI Number: | 1538520986 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ACN 785 |
| Business Practice Address: | 401 N Central Ave Inverness, FL - 344533838 |
| Business Phone Number: | 3524196526 |
| Business Fax Number: | 3524198966 |
| Mailing Address: | 14690 Spring Hill Dr, # 101 SPRING HILL |
| State: | FL |
| Postal Code: | 346098102 |
| Phone Number: | 3527990046 |
| Fax Number: | 3527990042 |
| NPI Enumeration Date: | 03/13/2016 |
| NPI Last Update Date: | 04/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN 785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |