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DR. WILSON OMAR RODRIGUEZ PA
NPI 1063268209
Physician Assistant - Medical in Winter Haven, FL

Active since April 29, 2024
217 E CENTRAL AVE, WINTER HAVEN, FL 33880(407) 315-3637 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, May 8, 2024, Apr 29, 2024 (3 updates tracked since 2024).

About Dr. Wilson Omar Rodriguez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILSON OMAR RODRIGUEZ PA (NPI 1063268209) is an individual medical provider in Winter Haven, Florida, licensed in Florida (TPPA690) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1063268209
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. WILSON OMAR RODRIGUEZCredential: PA
Location Address217 E CENTRAL AVEWinter Haven, FL 33880-6312
Mailing AddressPo Box 532Lake Alfred, FL 33850-0532 · (407) 315-3637 · Fax (407) 358-3440
Phone(407) 315-3637
Sole ProprietorNo
Enumeration DateApril 29, 2024
Last NPPES UpdateMay 24, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1063268209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · TPPA690
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2146-PA (PR)
217 E CENTRAL AVE, Winter Haven, FL 33880
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN E ROMAN RDN
Dietitian, Registered
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (407) 315-3637
WE CARE SPECIALTY PHYSICIANS LLC
Clinic/Center (Multi-Specialty)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (407) 315-3637
WE CARE FAMILY PHYSICIANS LLC
General Practice
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (407) 315-3637
GRISEL ARACELIN RAMOS RODRIGUEZ LCDA.
Nutritionist
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (407) 315-3637
MICHELLE VALDEZ
Nurse Practitioner (Family)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (407) 315-3637
JENNIFER BARBARA PARKES APRN
Nurse Practitioner (Adult Health)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 299-2540
IMAGINATIO
Radiology (Diagnostic Radiology)
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (407) 315-3637
PROFESSIONAL DERMATOLOGY ASSOCIATES
Dermatology
217 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (315) 363-7407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilson Rodriguez's NPI number?

The NPI number for Wilson Rodriguez is 1063268209. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Wilson Rodriguez located?

Wilson Rodriguez practices at 217 E Central Ave, Winter Haven, FL 33880. The listed phone number is (407) 315-3637.

What is Wilson Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Wilson Rodriguez was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.