Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacquelyn Rodriguez-Broussard

Individual provider Pharmacist · NPI 1265192199

Jacquelyn Rodriguez-Broussard is a Pharmacist in Sunrise, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

1030 SW 149th Ln
Sunrise, FL 33326-1954
Phone: (954) 822-1922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS52096 (FL)

Record details

NPI number1265192199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address1030 Sw 149th Ln, Sunrise, FL 33326-1954

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