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Randolph Rodriguez
Pediatric Skilled Nursing Facility in Kissimmee, Florida
NPI 1922493170

Randolph Rodriguez is a Pediatric Skilled Nursing Facility based in Kissimmee, FL and is specialized in Nursing Care, Pediatric. Randolph Rodriguez practices in Kissimmee, FL. The NPI Number for Randolph Rodriguez is 1922493170 and holds a License No. OTA 13834 (Florida).

The current practice location address for Randolph Rodriguez is 2434 Benjamin Dr, Kissimmee, FL and can be reached out via phone at 407-558-5656 and via fax at 321-251-6542.

Location: 2434 Benjamin Dr, Kissimmee, FL, 34744-2722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922493170
Provider Name
Randolph Rodriguez
Credential
Provider Entity Type
Organization
Address
2434 Benjamin Dr, Kissimmee, FL, 34744-2722
Phone Number
407-558-5656
Fax Number
321-251-6542
Provider Enumeration Date
04/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2434 Benjamin Dr
City
Kissimmee
State
Florida
Zip
34744-2722
Phone Number
407-558-5656
Fax Number
321-251-6542
person
Provider Business Mailing Address Details
Address
2434 Benjamin Dr
City
Kissimmee
State
Florida
Zip
34744-2722
Phone Number
407-558-5656
Fax Number
321-251-6542
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
OTA 13834 (Florida)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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