Organization Active NPI

Rocks and Roses Optimal Health, LLC

  • Clinic/Center
  • Wimauma, FL
National Provider Identifier
1033634662
Registry record updated Jul 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROCKS AND ROSES OPTIMAL HEALTH, LLC
Practice address
16915 Scuba Crest St
Wimauma, FL 33598-2519
Phone
(901) 201-1963
NPI assigned
Aug 4, 2017
Last updated
Jul 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Edward Davis, PA-CNPI 1437179561
Title
Owner
Phone
(901) 201-1963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

16915 Scuba Crest St
Wimauma, FL 33598-2519

Mailing address

6947 Crestpoint Dr
Apollo Beach, FL 33572-1753
Phone (901) 201-1963

National Provider Directory

National Provider Directory

Locations

14036 US Highway 301 S
Riverview, FL 33578

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690588800000",
    "number": "1033634662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 CRESTPOINT DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721753",
            "telephone_number": "901-201-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16915 SCUBA CREST ST",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335982519",
            "telephone_number": "901-201-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKS AND ROSES OPTIMAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-201-1963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.