Organization
FOCUSAL1011, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRINE T ROCA MD (OWNER/MEDICAL DIRECTOR)
(888) 414-5810
Entity
Organization
Contact information
Practice address
2202 JORDAN RD SW STE 501, FORT PAYNE, AL 35968-3691
(888) 414-5810
(251) 414-5809
Mailing address
PO BOX 8159, MOBILE, AL 36689-0159
(888) 414-5810
(251) 414-5809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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