Healthcare Provider Details

I. General information

NPI: 1811136310
Provider Name (Legal Business Name): TODD IAN RODMAN DC,APRN, FNP-BC,CCSP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2009
Last Update Date: 05/22/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 SOUTH CENTRAL PARK BLVD #375
BOCA RATON FL
33428
US

IV. Provider business mailing address

9618 EXBURY COURT
PARKLAND FL
33076
US

V. Phone/Fax

Practice location:
  • Phone: 561-313-9119
  • Fax: 561-228-5959
Mailing address:
  • Phone: 954-234-6063
  • Fax: 561-451-1223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11038867
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9696
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: