Healthcare Provider Details

I. General information

NPI: 1477857563
Provider Name (Legal Business Name): DR. FLEURGIN ROCHELIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13571 BISCAYNE BLVD
NORTH MIAMI BEACH FL
33181-1630
US

IV. Provider business mailing address

13571 BISCAYNE BLVD
NORTH MIAMI BEACH FL
33181-1630
US

V. Phone/Fax

Practice location:
  • Phone: 305-974-5548
  • Fax: 866-370-1485
Mailing address:
  • Phone: 305-974-5548
  • Fax: 866-370-1485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number272241
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number259771
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME112517
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME112517
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME112517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: