Individual
CHANEL RODES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22874 SW 115TH CT, MIAMI, FL 33170-4314
(786) 212-5827
Mailing address
22874 SW 115TH CT, MIAMI, FL 33170-4314
(786) 212-5827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11036083
FL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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