Moccia, Roger D

Moccia, Roger D is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 2C , Melbourne FL 32901-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Moccia, Roger D can be contacted via phone (321) 549-0815.

Contact Information

Primary practice address
1223 Gateway Dr Ste 2C Melbourne FL 32901-2607
Phone: (321) 549-0815
Fax: (321) 768-0039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME120656 Florida

Profile Details

NPI number 1104041342
LBN Legal business name Moccia, Roger D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2007
Last updated Dec 1st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104041342 NPPES
Florida MEDICAID 014565100
Florida Other HY966Z

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