Provider Demographics
NPI:1073511754
Name:ROCA, ARMANDO JR (DO)
Entity Type:Individual
Prefix:DR
First Name:ARMANDO
Middle Name:
Last Name:ROCA
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1801 SW 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-4644
Mailing Address - Country:US
Mailing Address - Phone:954-723-0523
Mailing Address - Fax:954-241-0445
Practice Address - Street 1:6301 PEMBROKE RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-2217
Practice Address - Country:US
Practice Address - Phone:954-961-8394
Practice Address - Fax:954-241-0445
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0007074207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0251636500Medicaid
FL0251636500Medicaid
FL045830Medicare UPIN