Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Angela Ivette Rivera Rodriguez, PA-C

Individual provider Physician Assistant · NPI 1710854211

Angela Ivette Rivera Rodriguez, PA-C is a Physician Assistant in Davenport, Florida. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

40215 Highway 27
Davenport, FL 33837-7813
Phone: (863) 421-9705
Fax: (863) 421-9779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1396 Whisper Cir, Sebring, FL 33870-1204 — (863) 385-1244

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121006 (FL)

Record details

NPI number1710854211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Davenport