VIRGINIO RODRIGUEZ III NPI 1265869705

NPI Information

  • NPI: 1265869705
  • Provider Name: VIRGINIO RODRIGUEZ III
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: VR PEDIATRICS
  • CLIA Number: 10D2041469
  • Address: 345 CLYDE MORRIS BLVD STE 360
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 873-4740

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NPI Details

VIRGINIO RODRIGUEZ III is a pediatrics in Ormond Beach, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. VIRGINIO RODRIGUEZ III NPI is 1265869705. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Vr Pediatrics.

The provider's business location address is:

345 CLYDE MORRIS BLVD STE 360
ORMOND BEACH, FL
ZIP 32174-114
Phone: (386) 873-4740
Fax: (386) 873-4742

The provider's authorized official is Staci G Lewis .
The authorized official title is Biller and has the following contact phone number (386) 873-4740.

The CLIA number assigned to this NPI record is 10D2041469 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2013 and was last updated on 9/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsME56648FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1256164600MEDICAIDFLORIDA
2256164601MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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