Provider Demographics
NPI:1740431147
Name:RODRIGUEZ, YOLANDA ALEXI
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:ALEXI
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2738 EAGLE LAKE DR # 34711
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6269
Mailing Address - Country:US
Mailing Address - Phone:305-788-7130
Mailing Address - Fax:
Practice Address - Street 1:2738 EAGLE LAKE DR # 34711
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6269
Practice Address - Country:US
Practice Address - Phone:305-788-7130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
FLAS4086237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter