Provider Demographics
NPI:1215228994
Name:ROCKMORE, LATOYA LENORA
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:LENORA
Last Name:ROCKMORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 LESCOT LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-4071
Mailing Address - Country:US
Mailing Address - Phone:407-459-5612
Mailing Address - Fax:
Practice Address - Street 1:4904 LESCOT LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-4071
Practice Address - Country:US
Practice Address - Phone:407-459-5612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities