Individual ProviderAngelina RodriguezFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7945 S Suncoast Blvd Ste A, Homosassa, FL 34446(352) 382-5000(352) 797-3500PECOS EnrollmentBased on the most recent information from CMS, provider Angelina Rodriguez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1548592991Provider TypeIndividualFull NameRodriguez, AngelinaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date2/10/2010Last Updated10/11/2018Contact InformationPractice LocationPractice Address7945 S Suncoast Blvd Ste A, Homosassa, FL 34446Phone(352) 382-5000Fax(352) 382-1940Mailing LocationMailing Address44 Veterans Ave, Brooksville, FL 34601-3215Phone(352) 797-3500Fax(352) 797-3526Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME134023FloridaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense57.015039OhioCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense35.096487OhioProvider IdentifiersIDDescriptionIssuerID0051599DescriptionMedicaidIssuerUnlistedOhio