| Rocker Community Health Inc. | |
|
10681 Lago Welleby Dr Sunrise FL 33351-8287 | |
| (786) 355-8680 | |
| Not Available |
| Full Name | Rocker Community Health Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10681 Lago Welleby Dr, Sunrise, Florida |
| Authorized Official Name and Position | Jeff Rocker (PRESIDENT) |
| Authorized Official Contact | 7863558680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocker Community Health Inc. 10681 Lago Welleby Dr Sunrise FL 33351-8287 Ph: (786) 355-8680 | Rocker Community Health Inc. 10681 Lago Welleby Dr Sunrise FL 33351-8287 Ph: (786) 355-8680 |
| NPI Number | 1164270849 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 9335688019 |
|---|---|
| Medicare Enrollment ID | O20240826002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164270849 | NPI | - | NPPES |
| Provider Name | Jeff Rocker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477024305 PECOS PAC ID: 2062951742 Enrollment ID: I20240826002927 |
| Provider Name | Jonteria Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730958455 PECOS PAC ID: 3476092842 Enrollment ID: I20240829000764 |
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