Mack, Roderick

Mack, Roderick is an individual health care provider with primary practice located at 2824 Washington Dr , Fort Lauderdale FL 33311-6658. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Mack, Roderick can be contacted via phone (305) 992-5119.

Contact Information

Primary practice address
2824 Washington Dr Fort Lauderdale FL 33311-6658
Phone: (305) 992-5119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1013669621
LBN Legal business name Mack, Roderick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2022
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers