DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVAN LAVANDERA RODRIGUEZ

Active Sole Proprietor

IVAN LAVANDERA RODRIGUEZ is a Nurse Practitioner healthcare provider located in FT LAUDERDALE, Florida. NPI 1417311622 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FT LAUDERDALE, FL

Registration Details

NPI Number
1417311622
Provider Type
Individual
Gender
Male
NPI Issued
Apr 13, 2016 (10.326672482149 yrs)
Last Updated
Apr 5, 2021
Licenses
15-528 (FL)
11012299 (FL)
Sole Proprietor
Yes

Practice Information

Address
1995 E OAKLAND PARK BLVD STE 310
FT LAUDERDALE, FL, 333061138
Browse FL providers · Browse ZIP 33306
Phone
9547916146
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in FT LAUDERDALE, FL

Name Credential NPI
CAROL BHIM ARNP 1376532002
LORENA KAELBER CNM 1609865336
MICHELLE ALLIN ARNP 1922086529
AMELIA B WALLER ARNP 1013971324
MARY S PETERSON ARNP 1235154766
MYRTLE A HENRY ARNP 1245326347
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.