Provider Demographics
NPI:1811136310
Name:RODMAN, TODD IAN (DC,APRN, FNP-BC,CCSP)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:IAN
Last Name:RODMAN
Suffix:
Gender:M
Credentials:DC,APRN, FNP-BC,CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9618 EXBURY COURT
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076
Mailing Address - Country:US
Mailing Address - Phone:954-234-6063
Mailing Address - Fax:561-451-1223
Practice Address - Street 1:9960 SOUTH CENTRAL PARK BLVD
Practice Address - Street 2:#375
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428
Practice Address - Country:US
Practice Address - Phone:561-313-9119
Practice Address - Fax:561-228-5959
Is Sole Proprietor?:No
Enumeration Date:2009-02-07
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9696111N00000X
FLAPRN11038867363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCH9696OtherLICENSE #