Ms Cynthia Cecilia Roque, MD | |
9145 Narcoossee Rd Ste 103, Orlando, FL 32827-5768 | |
(407) 243-2040 | |
(407) 243-2043 |
Full Name | Ms Cynthia Cecilia Roque |
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Gender | Female |
Speciality | General Practice |
Location | 9145 Narcoossee Rd Ste 103, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609050293 | NPI | - | NPPES |
004236346 | Medicaid | CT | |
023853200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 048900 (Connecticut) | Secondary |
208D00000X | General Practice | ME134151 (Florida) | Primary |
Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
Mailing Address | Practice Location Address |
---|---|
Ms Cynthia Cecilia Roque, MD 10140 Centurion Pkwy N, Jacksonville, FL 32256-0532 Ph: (904) 697-4100 | Ms Cynthia Cecilia Roque, MD 9145 Narcoossee Rd Ste 103, Orlando, FL 32827-5768 Ph: (407) 243-2040 |
Baha Aldeen Bani Fawwaz, MBBS General Practice Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7270 | |
Dr. Nhung Thi Tran, M.D General Practice Medicare: Not Enrolled in Medicare Practice Location: 4000 Central Florida Blvd, Orlando, FL 32816 Phone: 407-823-2098 Fax: 407-823-6932 | |
Dr. Marcos Antonio Rivera Roman, MD General Practice Medicare: Medicare Enrolled Practice Location: 1130 S Semoran Blvd Ste Bandc, Orlando, FL 32807 Phone: 407-382-1376 Fax: 321-235-3232 | |
Dr. Juan Carlos Cantu, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 7359 Lake Underhill Rd, Orlando, FL 32822 Phone: 407-900-9284 Fax: 407-203-8887 | |
Abhishek Mishra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 7620 Lake Underhill Rd, Orlando, FL 32822 Phone: 321-235-0692 Fax: 321-235-0694 | |
Osmany Lazaro Rodriguez Herrada, MD General Practice Medicare: Medicare Enrolled Practice Location: 811 N Nowell St, Orlando, FL 32808 Phone: 407-259-2383 Fax: 407-363-3884 | |
Dr. Dariusz Grzegorz Mydlarz, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6336 W Colonial Dr, Orlando, FL 32818 Phone: 407-219-5200 Fax: 321-281-8700 |