Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ivan Lavandera Rodriguez

Individual provider Surgical Physician Assistant · NPI 1417311622

Ivan Lavandera Rodriguez is a Nurse Practitioner in Ft Lauderdale, Florida. Qualified in 2019, 7 years ago. Practices with Florida Practitioners, LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1995 E Oakland Park Blvd Ste 310
Ft Lauderdale, FL 33306-1138
Phone: (954) 791-6146
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11012299 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 15-528 (FL)

Record details

NPI number1417311622
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Florida Practitioners, Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients46
Services billed 66 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Memorial Hospital West Hospital · Pembroke Pines, FL

Colleagues at Florida Practitioners, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 62 clinicians in the practice; 12 are shown here.

Other providers in Ft Lauderdale