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

Mr. Fabian Rodriguez, NP

Individual provider Family Nurse Practitioner · NPI 1174989115

Mr. Fabian Rodriguez, NP is a Nurse Practitioner in Fort Walton Beach, Florida. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2016
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707
Phone: (850) 863-8100
Fax: (850) 863-8548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11013610 (FL)

Record details

NPI number1174989115
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 6, 2016
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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