Provider Demographics
NPI:1144420589
Name:RODRIGUEZ-ARREDONDO, CLAUDIA M (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:M
Last Name:RODRIGUEZ-ARREDONDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:M
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:12545 NEW BRITTANY BLVD FL 33907
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3625
Mailing Address - Country:US
Mailing Address - Phone:239-236-2066
Mailing Address - Fax:949-543-2084
Practice Address - Street 1:12545 NEW BRITTANY BLVD FL 33907
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3625
Practice Address - Country:US
Practice Address - Phone:239-236-2066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME156040207V00000X
IL036118733207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114636900Medicaid
IL036118733OtherSTATE OF ILLINOIS LICENSE
FLME156040OtherSTATE LICENSE
FLQT174OtherHFMG MA