Provider Demographics
NPI:1336438399
Name:RODRIGUEZ KING, ANNIA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANNIA
Middle Name:
Last Name:RODRIGUEZ KING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANNIA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:5801 NW 151ST ST STE 307
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2476
Mailing Address - Country:US
Mailing Address - Phone:305-960-7978
Mailing Address - Fax:
Practice Address - Street 1:5801 NW 151ST ST STE 307
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2476
Practice Address - Country:US
Practice Address - Phone:305-960-7978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-30
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11978207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine