Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Roodlyne Kimberly Antenor, PA-C

Individual provider Physician Assistant · NPI 1871369108

Roodlyne Kimberly Antenor, PA-C is a Physician Assistant in Hollywood, Florida. Qualified in 2023, 3 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1150 N 35th Ave Ste 205A
Hollywood, FL 33021-5424
Phone: (954) 265-7550
Fax: (954) 276-0130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3702 Washington St Ste 403, Hollywood, FL 33021-8284 — (954) 265-7550
  • 1951 Sw 172nd Ave Ste 305, Miramar, FL 33029-5614 — (954) 265-7550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1871369108
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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