Roque, Mark D

Roque, Mark D is an individual health care provider with primary practice located at 15502 Stoneybrook West Pkwy Ste 114 , Winter Garden FL 34787-4767. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Roque, Mark D can be contacted via phone (407) 821-3680.

Contact Information

Primary practice address
15502 Stoneybrook West Pkwy Ste 114 Winter Garden FL 34787-4767
Phone: (407) 821-3680
Fax: (407) 821-3681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME82763 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82763 Florida

Profile Details

NPI number 1164427043
LBN Legal business name Roque, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 18th, 2021 - about 4 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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