# ROCK MEDICAL SUPPLY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073768073
- **Authorized official:** JOHN G FOOTE C.PED. (CERTIFIED PEDORTHIST)
- **Authorized official phone:** (239) 682-9331

## Contact information

- **Practice address:** 45625 HIGHWAY 27, DAVENPORT, FL 33897-4546
- **Practice address phone:** (863) 439-1200
- **Mailing address:** 45625 HIGHWAY 27, DAVENPORT, FL 33897-4546
- **Mailing address phone:** (863) 439-1200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PED92 | FL | Yes |

## Other

- **Enumeration date:** 11/19/2008
- **Last updated:** 09/07/2010