Healthcare Provider Details

I. General information

NPI: 1811398589
Provider Name (Legal Business Name): KAREN RODRIGUEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 HARMONIA HAMMOCK RD
HARMONY FL
34773-6152
US

IV. Provider business mailing address

2616 HARMONIA HAMMOCK RD
HARMONY FL
34773-6152
US

V. Phone/Fax

Practice location:
  • Phone: 914-403-2845
  • Fax:
Mailing address:
  • Phone: 914-403-2845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11050276
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: