Provider Demographics
NPI:1114602398
Name:RODRIGUEZ, ENID MAGALI (DNP ARNP FNP-C)
Entity type:Individual
Prefix:
First Name:ENID
Middle Name:MAGALI
Last Name:RODRIGUEZ
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Gender:
Credentials:DNP ARNP FNP-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2013 LIVE OAK BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8410
Mailing Address - Country:US
Mailing Address - Phone:407-593-2388
Mailing Address - Fax:407-593-2392
Practice Address - Street 1:100 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1006
Practice Address - Country:US
Practice Address - Phone:407-875-3700
Practice Address - Fax:407-822-5024
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11026980364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health