MARTIN M. ROCHE SR.


Address: 103 Se 20th St, Ft Lauderdale, FL 33316-2846
Phone: 9544627558

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist ME13408 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUECROSSBLUESHIELD OF FL 06962 01

Other Providers MARTIN ROCHE

NPI Name Taxonomy Address Enumeration
1497805295 Martin W Roche Orthopaedic Surgery 4725 N Federal Highway, Orthopedic Center, Ft. Lauderdale, FL 33308 2007-01-12

Office Location

Street Address 103 SE 20TH ST
City FT LAUDERDALE
State FL
Zip Code 33316-2846

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City FT LAUDERDALE
Zip Code 33316

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Dataset Information

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.

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