Individual
ANISSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 W HILLSBORO BLVD, COCONUT CREEK, FL 33073-4395
(954) 725-4141
Mailing address
9054 NW 14TH CT, PEMBROKE PINES, FL 33024-4601
(954) 895-8649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
APRN11004695
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11004695
FL
Other
Enumeration date
10/22/2019
Last updated
02/03/2026
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