MEDICARE: NICOLE ROCK ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1295069300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ROCK ATC

Provider Business Mailing Address
First Line	:	11945 SAN JOSE BLVD
Second Line	:	SUITE 202
City	:	JACKSONVILLE
State	:	FL
Zip	:	32223-1613
Country	:	US
Telephone Number	:	904-880-2424
Fax Number	:	904-880-2420

Provider Business Practice Location Address
First Line	:	9191 R G SKINNER PKWY
Second Line	:	SUITE 703
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9655
Country	:	US
Telephone Number	:	904-854-7474
Fax Number	:	904-854-7470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2009
Last Update Date	:	09/22/2009

Similar Medicare Providers

1194805085 — DR. ARNOLD GRAHAM SMITH MD
Practice Location Address:

9191 R G SKINNER PKWY , SUITE 103
JACKSONVILLE, FL
32256-9655

Practice Phone: 904-391-6862
Practice Fax: 904-391-1005

1124221163 — DR. JEANIE RAE FRANCISE FROMAN-BOHALL D.C.
Practice Location Address:

9191 R G SKINNER PKWY , 503
JACKSONVILLE, FL
32256-9655

Practice Phone: 904-738-8189
Practice Fax: 904-212-1612

1427292697 — DMITRY SINAVSKY M.D.
Practice Location Address:

9191 R G SKINNER PKWY , SUITE 601
JACKSONVILLE, FL
32256-9655

Practice Phone: 216-262-0067
Practice Fax:

1386985307 — ARNOLD GRAHAM SMITH, MD PA
Practice Location Address:

9191 R G SKINNER PKWY , SUITE 103
JACKSONVILLE, FL
32256-9655

Practice Phone: 904-391-6862
Practice Fax: 904-391-1005

1508294802 — HOME INSTEAD SENIOR CARE
Practice Location Address:

9191 R G SKINNER PKWY , STE. 803
JACKSONVILLE, FL
32256-9655

Practice Phone: 904-363-6699
Practice Fax:

1508289448 — ARUNA AVANTI DDS.,PA.
Practice Location Address:

9191 R G SKINNER PKWY , SUITE 301
JACKSONVILLE, FL
32256-9655

Practice Phone: 904-683-1065
Practice Fax: 904-683-1067

Directions to “ NICOLE ROCK ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.