Organization
ROCKLEDGE HMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
110 LONGWOOD AVE, MAIL STOP #24, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Mailing address
110 LONGWOOD AVE, MAIL STOP #24, ROCKLEDGE, FL 32955-2828
(321) 636-2211
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
4132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010011101
—
FL
Enumeration date
05/01/2006
Last updated
01/29/2014
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