Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RODERICK MACK
ActiveRODERICK MACK is a Day Training/Habilitation healthcare provider located in FORT LAUDERDALE, Florida. NPI 1013669621 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1013669621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2022 (4.576343552667 yrs)
- Last Updated
- Jan 25, 2022
Practice Information
- Address
-
2824 WASHINGTON DRFORT LAUDERDALE, FL, 333116658Browse FL providers · Browse ZIP 33311
- Phone
- 3059925119
- Primary Specialty
-
Day Training/Habilitation
373H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.