Provider Demographics
NPI:1053021709
Name:PARGAS RODRIGUEZ, ABDIEL (APRN)
Entity type:Individual
Prefix:
First Name:ABDIEL
Middle Name:
Last Name:PARGAS RODRIGUEZ
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 SUMMERLIN COMMONS BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-2149
Mailing Address - Country:US
Mailing Address - Phone:239-232-1180
Mailing Address - Fax:239-666-9211
Practice Address - Street 1:3659 S MIAMI AVE STE 6008
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4221
Practice Address - Country:US
Practice Address - Phone:305-856-6555
Practice Address - Fax:305-856-6556
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019156363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner