Active NPI
Rock Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Davenport, FL
National Provider Identifier
1073768073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PED92
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.