Healthcare Provider Details

I. General information

NPI: 1851208284
Provider Name (Legal Business Name): ROCK HAVEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31248 BRIARWOOD SUMMIT LOOP
SAN ANTONIO FL
33576-7478
US

IV. Provider business mailing address

31248 BRIARWOOD SUMMIT LOOP
SAN ANTONIO FL
33576-7478
US

V. Phone/Fax

Practice location:
  • Phone: 727-506-4932
  • Fax:
Mailing address:
  • Phone: 727-506-4932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: PEDRO X FRANCOIS
Title or Position: OWNER
Credential:
Phone: 727-506-4932