Healthcare Provider Details

I. General information

NPI: 1912182510
Provider Name (Legal Business Name): MICHAEL EDWARD ROOKEY RCIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROKEN SOUND PKWY STE. 500
BOCA RATON FL
33487-2773
US

IV. Provider business mailing address

1313 SE 11TH TER
CAPE CORAL FL
33990-3663
US

V. Phone/Fax

Practice location:
  • Phone: 561-367-1175
  • Fax: 561-417-7443
Mailing address:
  • Phone: 239-699-7398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number00035168
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: