Active NPIIndividual providerSole proprietor

Kenneth Pol Rodriguez

Student in an Organized Health Care Education/Training Program in Davie, Florida

NPI Number1124994538
Practice location
3200 S University Dr, Davie, FL 33328-2018
Fax
—
Last updated
October 13, 2025

Kenneth Pol Rodriguez is a Student in an Organized Health Care Education/Training Program based in Davie, FL. Kenneth Pol Rodriguez practices in Davie, FL. The NPI Number for Kenneth Pol Rodriguez is 1124994538 and holds a License No. 48478 (FL). The current practice location address for Kenneth Pol Rodriguez is 3200 S University Dr, Davie, FL 33328-2018 and can be reached out via phone at 954-262-4550.

Provider Profile Details

NPI Number
1124994538
Provider Name
Kenneth Pol Rodriguez
Provider Entity Type
Individual
Gender
Male
Address
3200 S University Dr, Davie, FL 33328-2018
Phone Number
954-262-4550
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2025
Last Update Date
October 13, 2025
Certification Date
October 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3200 S University Dr
Davie, FL 33328-2018
City
Davie
State
Florida
Zip
33328-2018
Phone Number
954-262-4550
Davie, FL 33328Get directions →

Provider Business Mailing Address Details

Address
Hc 3 Box 8680
Lares, PR 00669-9507
City
Lares
State
PR
Zip
00669-9507
Phone Number
787-397-3547

License Information

License Number
48478
License State
FL

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kenneth Pol Rodriguez?

The NPI number of Kenneth Pol Rodriguez is 1124994538. It was assigned on October 13, 2025 and is currently active in the NPPES registry.

What is the specialty of Kenneth Pol Rodriguez?

Kenneth Pol Rodriguez is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in FL under license number 48478.

Where does Kenneth Pol Rodriguez practice?

The practice location is 3200 S University Dr, Davie, FL 33328-2018. The office can be reached at 954-262-4550 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124994538 directly on the NPPES registry website.

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