Search › Florida › 2251G0304X
Jesrael Rodriguez
NPI 1093412777 · on the registry since 2023 · sole proprietor
Practice
- Address
- 701 Lake Port Blvd
Leesburg, FL 34748 - Phone
- (352) 728-3366
- Organisation at this address
- Ccrc - Lake Port Square, Llc
Lake Harris Health Systems Llc
Lake Harris Health Systems LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 2251G0304X
2251G0304X
- Also registered as
- 225100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida