OrganizationActive
Rock Star Rep Inc
NPI 1871734541 · Clinic/Center · Miramar Beach, FL
Provider details
- NPI number
- 1871734541
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Perry Reeves, Ceo(863) 513-0349
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10065 US Highway 98 W
Ste B 101
Miramar Beach, FL 32550-4924
Phone: (850) 837-8005
Fax: (850) 837-4352
Street-level locationGet directions
Mailing address
5305 Oakway Dr
Lakeland, FL 33805-8584
Other names (DBA / former)
- Doing business as
- South Walton Medical
Registry dates
- Enumerated
- 2009-03-10
- Last updated
- 2009-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.