Basic Information
| Provider Information | |||||||||
| NPI: | 1598383507 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROCKET HEALTH CARE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 WOODLAND AVENUE | ||||||||
| Address2: | STE A | ||||||||
| City: | COCOA BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329312844 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3216132004 | ||||||||
| FaxNumber: | 3216132031 | ||||||||
| Practice Location | |||||||||
| Address1: | 30 WOODLAND AVE | ||||||||
| Address2: | STE A | ||||||||
| City: | COCOA BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329312886 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3216132004 | ||||||||
| FaxNumber: | 3216132031 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2020 | ||||||||
| LastUpdateDate: | 10/19/2022 | ||||||||
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| AuthorizedOfficialLastName: | KAHLON | ||||||||
| AuthorizedOfficialFirstName: | SUMMERPAL | ||||||||
| AuthorizedOfficialMiddleName: | SINGH | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3216132004 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 10/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.