Individual
MARTIN M. ROCHE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 SE 20TH ST, FT LAUDERDALE, FL 33316-2846
(954) 462-7558
(954) 525-5820
Mailing address
103 SE 20TH ST, SUITE 100, FT LAUDERDALE, FL 33316-2846
(954) 462-7558
(954) 525-5820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME13408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06962
BLUECROSSBLUESHIELD OF FL
FL
Enumeration date
09/27/2006
Last updated
07/15/2014
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