Individual
DAVID O ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6360 PRESIDENTIAL CT STE 1, FORT MYERS, FL 33919-3501
(786) 373-3027
(786) 802-2011
Mailing address
6360 PRESIDENTIAL CT STE 1, FORT MYERS, FL 33919-3501
(786) 373-3027
(786) 802-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107791
FL
Other
Enumeration date
04/02/2015
Last updated
01/14/2026
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