Individual provider · Type 1 NPI

Kenneth Pol Rodriguez

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

NPI number 1124994538 Active

Practice location

3200 S University Dr
Davie, FL 33328-2018

Call (954) 262-4550 Map

Mailing address

HC 3 Box 8680
Lares, PR 00669-9507

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X48478 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124994538

Kenneth Pol Rodriguez's National Provider Identifier is 1124994538, issued on Oct 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Davie, FL. The record was last updated on Oct 13, 2025.