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

Susely C Rodriguez, PA-C

Individual provider Medical Physician Assistant · NPI 1750036455

Susely C Rodriguez, PA-C is a Medical Physician Assistant in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
Specialties on file
3
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

1250 S Harbor City Blvd
Melbourne, FL 32901-3242
Phone: (321) 725-8919
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9115448 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9115448 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9115448 (FL)

Record details

NPI number1750036455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

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