Individual provider · Type 1 NPI

Wilson Omar Rodriguez, PA

Medical Physician Assistant · Winter Haven, FL

NPI number 1063268209 Active

Practice location

217 E Central Ave
Winter Haven, FL 33880-6312

Mailing address

PO Box 532
Lake Alfred, FL 33850-0532

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2146-PA (PR)
Medical Physician Assistant Primary 363AM0700XTPPA690 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1063268209

Wilson Omar Rodriguez, PA's National Provider Identifier is 1063268209, issued on Apr 29, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winter Haven, FL. The record was last updated on May 24, 2024.