Individual provider Active NPI

Alfredo Rodriguez, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1053028605
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022785 Issued in FL
Practice address
2600 Industrial Park Dr
Lakeland, FL 33801-7135
Phone
(863) 666-6100
Fax
(863) 583-9876
NPI assigned
Nov 2, 2022
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11022785 FL Primary

Addresses

Primary practice location

2600 Industrial Park Dr
Lakeland, FL 33801-7135

Mailing address

2600 Industrial Park Dr
Lakeland, FL 33801-7135
Phone (863) 666-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230106001200 FL Practitioner - Nurse Practitioner 6002286119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11022785FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Care of North Florida, Inc. CurrentSince Jan 4, 2026 Accepting new patients
American Care of North Florida, Inc Current Accepting new patients
American Care of North Florida, Inc CurrentSince Jul 24, 2024 Accepting new patients
American Care of North Florida, Inc CurrentSince Jul 24, 2024 Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1918 Blanding Blvd
Jacksonville, FL 32210
Phone (904) 389-6954

1005 N Lake Parker Ave
Lakeland, FL 33805
Phone (863) 583-4053

2600 Industrial Park Dr
Lakeland, FL 33801
Phone (863) 666-6100

2600 Industrial Park Dr
Ste C
Lakeland, FL 33801
Phone (863) 666-6100

11211 N Nebraska Ave
Tampa, FL 33612
Phone (813) 514-2333

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1053028605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 INDUSTRIAL PARK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338017135",
            "telephone_number": "863-666-6100",
            "fax_number": "863-583-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 INDUSTRIAL PARK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338017135",
            "telephone_number": "863-666-6100",
            "fax_number": "863-583-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALFREDO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.