St Francis Primary Care Clinic

LBN: Roger Roque Md Llc
St Francis Primary Care Clinic is an health care organization with primary practice located at 620 S Lake St Ste 2 , Leesburg FL 34748-6059. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Roger Roque Md Llc can be contacted via phone (352) 314-6589, or through Wagner, David P via phone (321) 204-5222.

Contact Information

Primary practice address
620 S Lake St Ste 2 Leesburg FL 34748-6059
Phone: (352) 314-6589
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, David P
Phone: (321) 204-5222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1205571015
LBN Legal business name Roger Roque Md Llc
DBA Doing business as St Francis Primary Care Clinic
Authorized official Wagner, David P
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2022
Last updated Feb 3rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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