Active NPI
Prosper DPC PLLC
- Family Medicine Physician
- Rockledge, FL
National Provider Identifier
1629975396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PROSPER DPC PLLC
- Practice address
- 1197 Rockledge Blvd Ste 3
Rockledge, FL 32955-2713 - Phone
- (321) 386-6318
- NPI assigned
- Oct 24, 2026
- Last updated
- Oct 24, 2026
- 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
- Dr. Elizabeth O Kolawole, MD
- Title
- Medical Doctor
- Phone
- (321) 386-6318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1197 Rockledge Blvd Ste 3
Rockledge, FL 32955-2713
Mailing address
716 Carlsbad Dr
Satellite Beach, FL 32937-5714
Phone (321) 386-6318
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2315075 | Prosper DPC | Certificate of waiver | Dec 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
1197 Rockledge Blvd
Ste 3
Rockledge, FL 32955
Phone (214) 518-3569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792800000000",
"number": "1629975396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 CARLSBAD DR",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329375714",
"telephone_number": "321-386-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 ROCKLEDGE BLVD STE 3",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552713",
"telephone_number": "321-386-6318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPER DPC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-24",
"last_updated": "2026-10-24",
"certification_date": "2026-10-24",
"status": "A",
"authorized_official_last_name": "KOLAWOLE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "321-386-6318",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
- Presgar Imaging of Rockledge LLC (Open MRI of Rockledge)
- Andrea Ruth Press, OT, CHT
- Eryn Preston, ARNP
- Matthew M Price, RN, CCRN
- Priority House Calls LLC
- Marion Pryor, ABO, NCLE
- PS Chiropractic PC (dba/Wesley Chiropractic & Acupuncture)
- Publix Super Markets Inc (Publix Pharmacy #0784)
- Publix Super Markets Inc (Publix Pharmacy #1805)
- Publix Super Markets Inc (Publix Pharmacy #1398)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.