| NPI | 1922493170 |
|---|---|
| Other Name | RANDOLPH RODRIGUEZ |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH RODRIGUEZ President 407-558-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: FL OTA 13834) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |