Norma Roche Md Pa | |
698 N Homestead Blvd Ste 104 Homestead FL 33030-6208 | |
(305) 245-3534 | |
(305) 245-3563 |
Full Name | Norma Roche Md Pa |
---|---|
Speciality | Family Medicine |
Location | 698 N Homestead Blvd Ste 104, Homestead, Florida |
Authorized Official Name and Position | Norma Roche (PHYSICIAN) |
Authorized Official Contact | 3052453534 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Norma Roche Md Pa 698 N Homestead Blvd Ste 104 Homestead FL 33030-6208 Ph: (305) 245-3534 | Norma Roche Md Pa 698 N Homestead Blvd Ste 104 Homestead FL 33030-6208 Ph: (305) 245-3534 |
NPI Number | 1124368535 |
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Provider Enumeration Date | 02/21/2013 |
Last Update Date | 01/04/2017 |
Medicare PECOS PAC ID | 9931532579 |
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Medicare Enrollment ID | O20191212000425 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124368535 | NPI | - | NPPES |
FRZGX | Other | FL | FLORIDA BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME87339 (Florida) | Primary |
Provider Name | Norma Janeth Roche |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881683951 PECOS PAC ID: 0143112995 Enrollment ID: I20040326000332 |
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