MEDICARE: LAURA SOFIA RODRIGUEZ

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	363LA2100X	Acute Care Nurse Practitioner	11045569	FL

General Provider Information

NPI Number	:	1265385926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA SOFIA RODRIGUEZ

Provider Business Mailing Address
First Line	:	2196 SW 83RD TER
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-5347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2196 SW 83RD TER
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-5347
Country	:	US
Telephone Number	:	954-993-9754
Fax Number	:

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

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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Directions to “ LAURA SOFIA RODRIGUEZ ” Practice Location

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