Individual
JORGE LUIS ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 S ANDREWS AVE FL 2, FORT LAUDERDALE, FL 33316-2509
(954) 355-3490
(954) 355-3498
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 355-3490
(954) 355-3498
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
ME157487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD476642
PENNSYLVANIA MEDICAL LICENSE
PA
Enumeration date
03/21/2017
Last updated
04/01/2024
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