Provider Demographics
NPI:1790140275
Name:TODD I. RODMAN D.C. LLC
Entity Type:Organization
Organization Name:TODD I. RODMAN D.C. LLC
Other - Org Name:SPORTS CHIROPRACTIC AND NATURAL HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:RODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-313-9117
Mailing Address - Street 1:9878 CLINT MOORE RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1037
Mailing Address - Country:US
Mailing Address - Phone:561-313-9117
Mailing Address - Fax:561-451-1223
Practice Address - Street 1:9878 CLINT MOORE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1037
Practice Address - Country:US
Practice Address - Phone:561-313-9117
Practice Address - Fax:561-451-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty