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NPI Code Detail

MEDICARE: DR. DAVID B. VAN ROEKEL MD

MEDICARE: DR. DAVID B. VAN ROEKEL MD
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
12085R0202XDiagnostic Radiology Physician35549IA

Other Identifiers

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

General Provider Information

NPI Number : 1578563144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID B. VAN ROEKEL MD
Provider Business Mailing Address
First Line : 629A E HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-3517
Country : US
Telephone Number : 866-957-1106
Fax Number : 754-335-5987
Provider Business Practice Location Address
First Line : 629A E HILLSBORO BLVD
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-3517
Country : US
Telephone Number : 866-957-1106
Fax Number : 754-335-5987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 05/27/2026

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