Rock Star Rep INC
NPI #1871734541 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1871734541
- Entity Type
- Organization
- Organization Name
- Rock Star Rep INC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 10, 2009
- Last Updated
- Apr 9, 2009
Practice Location
- Address
- 10065 US HIGHWAY 98 W
- Address 2
- STE B 101
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-4924
- Phone
- (850) 837-8005
Authorized Official
- Name
- PERRY MONTY REEVES
- Title
- CEO
- Phone
- (863) 513-0349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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