# BROROC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRO ROC, LLC
- **Other names:** perennial medical group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548897689
- **Legal business name:** BRO ROC, LLC
- **Authorized official:** MR. WESLEY PAUL (OWNER)
- **Authorized official phone:** (754) 366-7735

## Contact information

- **Practice address:** 1809 NE 59TH ST, FORT LAUDERDALE, FL 33308-2443
- **Practice address phone:** (754) 366-7735
- **Mailing address:** 1809 NE 59TH ST, FORT LAUDERDALE, FL 33308-2443
- **Mailing address phone:** (754) 366-7735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2020
- **Last updated:** 04/01/2020