Provider Demographics
NPI:1912975061
Name:ROCHMAN, FREDERICK DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:DANIEL
Last Name:ROCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 HIGHWAY A1A
Mailing Address - Street 2:APT 308
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4939
Mailing Address - Country:US
Mailing Address - Phone:715-209-2249
Mailing Address - Fax:
Practice Address - Street 1:2225 HIGHWAY A1A APT 308
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937
Practice Address - Country:US
Practice Address - Phone:715-209-2249
Practice Address - Fax:321-733-7970
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME130242207L00000X, 207LP2900X, 208VP0014X, 207LA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32257800Medicaid
FLJF282ZOtherMEDICARE
MI4440089Medicaid
WI000104105Medicare PIN