St. Francis Primary Care Clinic

LBN: Roger C Roque Md Pa
St. Francis Primary Care Clinic is an health care organization with primary practice located at 720 N Bay St Suite 8, Eustis FL 32726-2964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Roger C Roque Md Pa can be contacted via phone (352) 357-1014, or through Roque, Roger Cagandahan via phone (352) 357-1014.

Contact Information

Primary practice address
720 N Bay St Suite 8 Eustis FL 32726-2964
Phone: (352) 357-1014
Fax: (352) 357-3130
Website:
Map and Directions
Authorized official contact:
Name: Roque, Roger Cagandahan Doctor of Medicine (MD)
Phone: (352) 357-1014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0070970 Florida

Profile Details

NPI number 1932215043
LBN Legal business name Roger C Roque Md Pa
DBA Doing business as St. Francis Primary Care Clinic
Authorized official Roque, Roger Cagandahan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Aug 23rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932215043 NPPES
Other 31407 BLUE CROSS BLUE SHIELD
MEDICAID 279151000 BLUE CROSS BLUE SHIELD

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