NPI 1013669621
Roderick Mack
Practice location
- Address
- 2824 Washington Dr, Fort Lauderdale, FL 33311-6658
- Phone
- (305) 992-5119
- Mailing address
- 5887 NW 66th Way, Parkland, FL 33067-1352
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1013669621
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jan 2022
- Record last updated
- 25 Jan 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.