Organization Active NPI

Rock Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Davenport, FL
National Provider Identifier
1073768073
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PED92 Issued in FL
Legal business name
ROCK MEDICAL SUPPLY, INC.
Practice address
45625 Highway 27
Davenport, FL 33897-4546
Phone
(863) 439-1200
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
John G Foote, C.PED.
Title
Certified Pedorthist
Phone
(239) 682-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PED92 FL Primary

Addresses

Primary practice location

45625 Highway 27
Davenport, FL 33897-4546

Mailing address

45625 Highway 27
Davenport, FL 33897-4546
Phone (863) 439-1200

National Provider Directory

National Provider Directory

Locations

45625 Highway 27
Davenport, FL 33897
Phone (863) 439-1200

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1073768073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45625 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338974546",
            "telephone_number": "863-439-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45625 HIGHWAY 27",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338974546",
            "telephone_number": "863-439-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "239-682-9331",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PED92",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.