Healthcare Provider Details

I. General information

NPI: 1750210860
Provider Name (Legal Business Name): NOAI HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9555 SW 175TH TER STE 219
PALMETTO BAY FL
33157-5604
US

IV. Provider business mailing address

9555 SW 175TH TER STE 219
PALMETTO BAY FL
33157-5604
US

V. Phone/Fax

Practice location:
  • Phone: 786-912-7044
  • Fax: 305-677-8504
Mailing address:
  • Phone: 786-912-7044
  • Fax: 305-677-8504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN A RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 786-912-7044