MEDICARE: DR. KIMBERLY DAWN RODRIGUEZ PHARM D., C.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS36739	FL

General Provider Information

NPI Number	:	1104168046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY DAWN RODRIGUEZ PHARM D., C.PH.

Provider Business Mailing Address
First Line	:	4400 N STATE ROAD 7
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33073-3353
Country	:	US
Telephone Number	:	954-366-2134
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 N STATE ROAD 7
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33073-3353
Country	:	US
Telephone Number	:	954-366-2134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2013
Last Update Date	:	11/15/2025

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