Individual
DR. JACQUELINE RODENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3200 S UNIVERSITY DR, NSU THE EYE INSTITUTE SUITE 1402, DAVIE, FL 33328-2018
(954) 262-1402
(954) 262-1818
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
(954) 262-4397
(954) 262-2269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078860100
—
FL
Enumeration date
11/22/2006
Last updated
03/19/2019
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