Organization
EMR QUICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY FRANK MCCONKEY (BILLING DEVELOPMENT DIRECTER)
(770) 823-1510
Entity
Organization
Contact information
Practice address
2000 CHENEY HWY STE 103-310, TITUSVILLE, FL 32780-6028
(877) 297-4081
(678) 391-5920
Mailing address
PO BOX 645, NORCROSS, GA 30091-0645
(877) 297-4081
(678) 391-5920
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251T00000X
PACE Provider Organization
—
—
261Q00000X
Clinic/Center
—
—
281P00000X
Chronic Disease Hospital
—
—
282N00000X
General Acute Care Hospital
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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