Organization
ROCKET WELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMERPAL S KAHLON MD (PRESIDENT)
(321) 298-9196
Entity
Organization
Contact information
Practice address
30 WOODLAND AVENUE, COCOA BEACH, FL 32931-2844
(321) 543-8272
Mailing address
30 WOODLAND AVENUE, COCOA BEACH, FL 32931-2844
(321) 543-8272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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