Provider Demographics
NPI:1942001169
Name:TOMPKINS, RODERICK JOE III (MD)
Entity type:Individual
Prefix:DR
First Name:RODERICK
Middle Name:JOE
Last Name:TOMPKINS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:DERICK
Other - Middle Name:JOE
Other - Last Name:TOMPKINS
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:720 W OAK ST STE 102
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4990
Mailing Address - Country:US
Mailing Address - Phone:321-697-1733
Mailing Address - Fax:
Practice Address - Street 1:720 W OAK ST STE 102
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4990
Practice Address - Country:US
Practice Address - Phone:407-518-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program