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General NPI Number Information
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NPI Number | 1992668677
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Entity Type | Organization
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Legal Business Name | ROCCO MEDICAL GROUP LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1627 SW 1ST AVE STE 200
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City | OCALA
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State | FL
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Zip | 34471-6515
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Country | US
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Telephone | 352-234-3319
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 723
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City | OCALA
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State | FL
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Zip | 34478-0723
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Country | US
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Telephone | 352-234-3319
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JACQUELINE MARIE ROCCO
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Credential | DO
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Telephone | 352-234-3319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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