| Rockledge Hma, LLC | |
|
110 Longwood Ave Mail Stop #24 Rockledge FL 32955-2828 | |
| (321) 636-2211 | |
| Not Available |
| Full Name | Rockledge Hma, LLC |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 110 Longwood Ave, Rockledge, Florida |
| Authorized Official Name and Position | Laurie Holtsford (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6154657466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockledge Hma, LLC 110 Longwood Ave Mail Stop #24 Rockledge FL 32955-2828 Ph: (321) 636-2211 | Rockledge Hma, LLC 110 Longwood Ave Mail Stop #24 Rockledge FL 32955-2828 Ph: (321) 636-2211 |
| NPI Number | 1033176128 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033176128 | NPI | - | NPPES |
| 010011101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 4132 (Florida) | Primary |
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