Provider Demographics
NPI:1265582134
Name:ROCK, JOHN AUBREY (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:AUBREY
Last Name:ROCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11200 SW 8TH ST
Mailing Address - Street 2:AHC2, 693
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33199-2516
Mailing Address - Country:US
Mailing Address - Phone:305-348-0570
Mailing Address - Fax:305-348-0123
Practice Address - Street 1:800 SW 108TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2555
Practice Address - Country:US
Practice Address - Phone:305-348-3627
Practice Address - Fax:305-348-3627
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA011875207V00000X
FLME98028207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016258000Medicaid
LA011875OtherMEDICAL LICENSE
LA029953OtherCDS