Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juanita Rodriguez, AGACNP-BC

Individual provider Gerontology Registered Nurse · NPI 1720851140

Juanita Rodriguez, AGACNP-BC is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2021, 5 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2023
Specialties on file
5

Practice location Address checks out

2343 Aaron St
Port Charlotte, FL 33952-5305
Phone: (855) 979-5701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11029618 (FL)
Gerontology Registered Nurse Taxonomy 163WG0600X · Licence 9271379 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9271379 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11029618 (FL)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 9271379 (FL)

Record details

NPI number1720851140
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 7, 2023
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services