Most Relevant Information
Provider Data
| NPI Number: | 1003432758 |
| Provider Name: | NICOLE K RODOLPHO ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11007636 |
Most Important Dates
| Enumeration Date: | 06/18/2020 |
| Last Updated: | 06/18/2020 |
Provider Practice Location
6000 N FEDERAL HWY
FORT LAUDERDALE
FL
333082226
Practice Location Phone/Fax
| Phone: | 9547712551 |
| Fax: | 9544923830 |
Provider Mailing Location
131 S FEDERAL HWY APT 324
BOCA RATON
FL
334324931
Provider Mailing Phone/Fax
| Phone: | 6318976688 |
| Fax: |