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Individual
DR. JAKE ROCKMAN
Active
Individual
DR. JAKE ROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013605300
—
FL
01
—
190MB
BCBS
FL
01
—
4021796
AETNA
FL
Enumeration date
06/23/2014
Last updated
01/23/2017
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