Roche, Martin M.
Roche, Martin M. is an sole proprietor health care provider with primary practice located at 103 Se 20Th St , Ft Lauderdale FL 33316-2846. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Roche, Martin M. can be contacted via phone (954) 462-7558.Contact Information
Primary practice address
103 Se 20Th St
Ft Lauderdale FL 33316-2846
Phone: (954) 462-7558
Fax: (954) 525-5820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME13408 | Florida |
Profile Details
| NPI number | 1164513958 |
|---|---|
| LBN Legal business name | Roche, Martin M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 15th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164513958 | NPPES |
| Florida | Other | 06962 | BLUECROSSBLUESHIELD OF FL |
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