Provider Demographics
NPI:1437139789
Name:ROCKOWER, ROBERT K (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:K
Last Name:ROCKOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 SE 17TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9190
Mailing Address - Country:US
Mailing Address - Phone:352-690-2171
Mailing Address - Fax:352-690-6954
Practice Address - Street 1:10696 SE US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-2802
Practice Address - Country:US
Practice Address - Phone:352-245-1111
Practice Address - Fax:352-245-1435
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0005501207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253757500Medicaid
FL80389OtherBCBS
FL80389XMedicare PIN
FL80389YMedicare PIN
FL80389OtherBCBS
FL080123798Medicare PIN