Individual
MS. VIRGINIA ROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109184
FL
363AM0700X
Medical Physician Assistant
Primary
PA9109184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016087200
—
FL
01
—
PA9109184
MEDICAL LICENSE
FL
Enumeration date
11/09/2015
Last updated
04/08/2022
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