MARTIN M. ROCHE SR. (NPI# 1164513958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164513958 |
Entity Type | Individual |
Full Name | MARTIN M. ROCHE SR. |
Credential | M.D. |
Practice Address |
103 Se 20th St Ft Lauderdale FL 33316-2846 |
Mailing Address |
103 Se 20th St Suite 100 Ft Lauderdale FL 33316-2846 |
Practice Telephone | 9544627558 |
Practice Fax Number | 9545255820 |
Mailing Telephone | 9544627558 |
Mailing Fax Number | 9545255820 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2014-07-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | ME13408 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUECROSSBLUESHIELD OF FL | 06962 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497805295 | Martin W Roche | Orthopaedic Surgery | 4725 N Federal Highway, Orthopedic Center, Ft. Lauderdale, FL 33308 | 2007-01-12 |
Street Address |
103 SE 20TH ST |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33316-2846 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427481969 | Meagan Cruz | Physician Assistant | 103 Se 20th St, Ft Lauderdale, FL 33316-2846 | 2013-08-20 |
1447465547 | Broward Medical & Urgent Care Inc | Specialist | 103 Se 20th St, Ft Lauderdale, FL 33316-2846 | 2007-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
Find all providers in zip 33316 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972888634 | Choice Orthopedics | Specialist | 2419 E Commercial Blvd, Suite# 101, Ft Lauderdale, FL 33308-4042 | 2011-10-13 |
1043462799 | Performance Orthopaedic | Specialist | 721 Se 17th St, #104, Ft Lauderdale, FL 33316-2983 | 2008-10-14 |
1538310669 | Sharon Gerthoffer | Specialist | 1140 Se3rd Ave, Ft Lauderdale, FL 33316 | 2008-10-07 |
1508046913 | Zoran Potparic, M.d., P.a. | Specialist | 1116 East Broward Blvd, Ft Lauderdale, FL 33301 | 2007-11-14 |
1689890949 | Mark Vandenberg | Specialist | 1601 Ne 11th Ave, Ft Lauderdale, FL 33305-3171 | 2007-04-17 |
1568581502 | Meli Orthopedic Centers of Excellence,llc. | Specialist | 4800 Ne 20th Ter Ste 303, Ft Lauderdale, FL 33308 | 2007-03-29 |
1871635300 | Linda G Vega | Specialist | 3324 Ne 33rd St, Ft Lauderdale, FL 33308-7110 | 2007-02-12 |
1770624546 | Usa Mobile Diagnostic, Inc. | Specialist | 4021 N Andrews Ave Ste 6, Ft Lauderdale, FL 33309-5297 | 2007-02-12 |
1356417372 | Nancy M Adam | Specialist | 1750 Nw 3rd Ter, #102c, Ft Lauderdale, FL 33311-4884 | 2006-11-28 |
1366527749 | Paul James Glusman | Specialist | 5230 Ne 26th Ave, Ft Lauderdale, FL 33308-3306 | 2006-10-26 |
Find all providers in FT LAUDERDALE |
City | FT LAUDERDALE |
Zip Code | 33316 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.