Provider Demographics
NPI:1386727469
Name:KROCK, FELIX A (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:A
Last Name:KROCK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2171 PINE RIDGE RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-2002
Mailing Address - Country:US
Mailing Address - Phone:239-566-7425
Mailing Address - Fax:239-593-3430
Practice Address - Street 1:2171 PINE RIDGE RD
Practice Address - Street 2:SUITE F
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2002
Practice Address - Country:US
Practice Address - Phone:239-566-7425
Practice Address - Fax:239-593-3430
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-08-01
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Provider Licenses
StateLicense IDTaxonomies
FLLL 443207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBQ529ZMedicare Oscar/Certification