Individual
KYLE THOMAS ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6525 3RD ST STE 302, ROCKLEDGE, FL 32955-5749
(321) 241-1144
(321) 806-3878
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS18821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114175400
—
FL
01
—
PH346
HF MA
FL
Enumeration date
04/20/2018
Last updated
01/18/2023
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