Provider Demographics
NPI:1649713371
Name:PIERRE, ROCK JUDEL (ARNP)
Entity type:Individual
Prefix:
First Name:ROCK JUDEL
Middle Name:
Last Name:PIERRE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2632 HOLLYWOOD BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4856
Mailing Address - Country:US
Mailing Address - Phone:954-629-3818
Mailing Address - Fax:954-367-7761
Practice Address - Street 1:2632 HOLLYWOOD BLVD STE 208
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4856
Practice Address - Country:US
Practice Address - Phone:954-629-3818
Practice Address - Fax:954-367-7761
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2023-07-14
Deactivation Date:2023-05-26
Deactivation Code:
Reactivation Date:2023-06-19
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3382832363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily