Provider Demographics
NPI:1457968158
Name:RODRIQUEZ, JAIME LYNNE (PA-C)
Entity Type:Individual
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First Name:JAIME
Middle Name:LYNNE
Last Name:RODRIQUEZ
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2091 PINELLAS POINT DR S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-5823
Mailing Address - Country:US
Mailing Address - Phone:518-332-8592
Mailing Address - Fax:
Practice Address - Street 1:2091 PINELLAS POINT DR S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-5823
Practice Address - Country:US
Practice Address - Phone:518-332-8592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-26
Last Update Date:2020-09-26
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant