Healthcare Provider Details

I. General information

NPI: 1831998897
Provider Name (Legal Business Name): ROCK TOTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11094 PACIFICA ST
WELLINGTON FL
22449
US

IV. Provider business mailing address

9314 FOREST HILL BLVD # 970
WELLINGTON FL
33411-6577
US

V. Phone/Fax

Practice location:
  • Phone: 561-772-4156
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ROCK J. SAINT LOUIS
Title or Position: DNP, APRN, FNP-BC
Credential: DNP, APRN, FNP-BC
Phone: 786-556-6623