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NPI Code Detail

MEDICARE: MARK VALENTINE ROOCK MS

MEDICARE: MARK VALENTINE ROOCK MS
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1205073517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK VALENTINE ROOCK MS
Provider Business Mailing Address
First Line : 11031 NE 6TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33161-7182
Country : US
Telephone Number : 305-398-6100
Fax Number : 305-757-4465
Provider Business Practice Location Address
First Line : 3750 S DIXIE HWY
Second Line : SUITE 104
City : MIAMI
State : FL
Zip : 33133-4309
Country : US
Telephone Number : 305-443-4094
Fax Number : 305-569-0752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2009
Last Update Date : 08/03/2011

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