Healthcare Provider Details

I. General information

NPI: 1578563144
Provider Name (Legal Business Name): DAVID B. VAN ROEKEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629A E HILLSBORO BLVD
DEERFIELD BEACH FL
33441-3517
US

IV. Provider business mailing address

629A E HILLSBORO BLVD
DEERFIELD BEACH FL
33441-3517
US

V. Phone/Fax

Practice location:
  • Phone: 866-957-1106
  • Fax: 754-335-5987
Mailing address:
  • Phone: 866-957-1106
  • Fax: 754-335-5987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35549
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: