Provider Demographics
NPI:1225888670
Name:ROCKY RIVER CONSULTING LLC
Entity Type:Organization
Organization Name:ROCKY RIVER CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:W
Authorized Official - Last Name:GUIRGUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-915-3236
Mailing Address - Street 1:1971 DATURA ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3818
Mailing Address - Country:US
Mailing Address - Phone:440-915-3236
Mailing Address - Fax:
Practice Address - Street 1:1971 DATURA ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3818
Practice Address - Country:US
Practice Address - Phone:440-915-3236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental