ISMAEL MACALLA-RODRIGUEZ

FORT MYERS, FL
NPI1063186930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  APRN11014693)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  APRN11014693)
Enumeration Date2021-08-04
Last Update Date2023-09-01
Business Address
ISMAEL MACALLA-RODRIGUEZ APRN
5216 CLAYTON CT
FORT MYERS, FL 33907-2116
Phone number: 239-343-8260
Mailing Address
ISMAEL MACALLA-RODRIGUEZ APRN
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-8260