Jorge Antonio Rodriguez
Driver in Pembroke Pines, FL. Individual provider (NPI-1).
NPI number1891662284
StatusActive
Last updated in NPPESOct 20, 2025
Details
- NPI
- 1891662284
- Entity type
- Individual (NPI-1)
- Name
- Jorge Antonio Rodriguez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2025
- Certification date
- Oct 20, 2025
- Last updated
- Oct 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | FL | Yes |
Practice location
731 Nw 76th TerPembroke Pines, FL 33024-6819
Phone 754-347-3700 · Fax 954-708-1005
Mailing address
731 Nw 76th TerPembroke Pines, FL 33024-6819
Phone 754-347-3700 · Fax 954-708-1005
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