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

Kassidy Rodriguez

Individual provider Physician Assistant · NPI 1548072820

Kassidy Rodriguez is a Physician Assistant in Brandon, Florida. Qualified in 2024, 2 years ago. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

500 Vonderburg Dr Ste 102
Brandon, FL 33511-5968
Phone: (813) 681-5658
Fax: (813) 681-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9119920 (FL)

Record details

NPI number1548072820
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2025
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address500 Vonderburg Dr Ste 102, Brandon, FL 33511-5968

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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