Provider Demographics
NPI:1861271256
Name:MADISON, RHONDA D
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:D
Last Name:MADISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 N HIATUS RD
Mailing Address - Street 2:PMB 211
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:954-899-0893
Mailing Address - Fax:754-999-2126
Practice Address - Street 1:2511 N HIATUS RD
Practice Address - Street 2:PMB 211
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33026
Practice Address - Country:US
Practice Address - Phone:954-899-0893
Practice Address - Fax:754-999-2126
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care