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Talisa Rodriguez, DO
Optician in Melbourne, Florida
NPI 1407459852

Talisa Rodriguez is a Optician based in Melbourne, FL and is specialized in Optician. Talisa Rodriguez practices in Melbourne, FL and has the professional credentials of DO. The NPI Number for Talisa Rodriguez is 1407459852 and holds a License No. 7498 (Florida).

The current practice location address for Talisa Rodriguez is 1215 N Harbor City Blvd, Melbourne, FL and can be reached out via phone at 321-220-0600.

Location: 1215 N Harbor City Blvd, Melbourne, FL, 32935-7020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407459852
Provider Name
Talisa Rodriguez
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1215 N Harbor City Blvd, Melbourne, FL, 32935-7020
Phone Number
321-220-0600
Fax Number
Provider Enumeration Date
11/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO7498 01 FL PROFESSIONAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1215 N Harbor City Blvd
City
Melbourne
State
Florida
Zip
32935-7020
Phone Number
321-220-0600
Fax Number
person
Provider Business Mailing Address Details
Address
1215 N Harbor City Blvd
City
Melbourne
State
Florida
Zip
32935-7020
Phone Number
321-220-0600
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
7498 ()
Definition
Definition to come...
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