Provider Demographics
NPI:1831417492
Name:RODRIGUEZ, ANNABELLE GARCIA (ARNP)
Entity type:Individual
Prefix:MS
First Name:ANNABELLE
Middle Name:GARCIA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 W AVENIDA DEL RIO
Mailing Address - Street 2:
Mailing Address - City:CLEWISTON
Mailing Address - State:FL
Mailing Address - Zip Code:33440-2321
Mailing Address - Country:US
Mailing Address - Phone:863-983-4585
Mailing Address - Fax:
Practice Address - Street 1:17201 CIVIC ST NE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-2729
Practice Address - Country:US
Practice Address - Phone:863-763-9698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3083592363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily