Healthcare Provider Details

I. General information

NPI: 1528559556
Provider Name (Legal Business Name): ANN LORAINE ROC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 NARCOOSSEE RD STE 130
ORLANDO FL
32822-5531
US

IV. Provider business mailing address

7051 NARCOOSSEE RD STE 130
ORLANDO FL
32822-5531
US

V. Phone/Fax

Practice location:
  • Phone: 321-842-3930
  • Fax: 321-842-3931
Mailing address:
  • Phone: 321-842-3930
  • Fax: 321-842-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME180618
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberT9781
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: