Individual
JAQUELINE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1720
(954) 620-0011
(954) 620-2038
Mailing address
160 S FLAMINGO RD, PEMBROKE PINES, FL 33027-1720
(954) 620-0011
(954) 620-0238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115149
FL
Other
Enumeration date
10/12/2021
Last updated
09/21/2022
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