MEDICARE: DR. ARMANDO ROCA JR. D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS0007074	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073511754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMANDO ROCA JR. D.O.

Provider Business Mailing Address
First Line	:	1801 SW 117TH AVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33325-4644
Country	:	US
Telephone Number	:	954-723-0523
Fax Number	:	954-241-0445

Provider Business Practice Location Address
First Line	:	6301 PEMBROKE RD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-2217
Country	:	US
Telephone Number	:	954-961-8394
Fax Number	:	954-241-0445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/18/2021

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