Individual
JIMMY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S PARK RD, HOLLYWOOD, FL 33021-8717
(754) 245-7522
Mailing address
820 S PARK RD APT 3211, HOLLYWOOD, FL 33021-8717
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
RPT114765
FL
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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