Roger C Roque MD PA

NPI #1932215043 in Eustis, Florida

Provider Information

NPI Number: 1932215043
Entity Type: Organization
Organization Name: Roger C Roque MD PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 22, 2006
Last Updated: Aug 23, 2011

Practice Location

Address: 720 N BAY ST
Address 2: SUITE 8
City: Eustis
State: Florida
ZIP Code: 32726-2964
Phone: (352) 357-1014

Authorized Official

Name: ROGER CAGANDAHAN ROQUE, M.D.
Title: FAMILY PHYSICIAN
Phone: (352) 357-1014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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