Individual provider · Type 1 NPI

Charlie Obert Colon Rodriguez

Student in an Organized Health Care Education/Training Program · Kissimmee, FL

NPI number 1235856147 Active

Practice location

2980 Park Pond Way Fl 34741
Kissimmee, FL 34741-7660

Call (407) 930-4711 Map

Mailing address

330 Springview Dr, Sandford, Fl 32773
Sandford, FL 32773

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235856147

Charlie Obert Colon Rodriguez's National Provider Identifier is 1235856147, issued on Oct 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kissimmee, FL. The record was last updated on Oct 21, 2022.