Organization
BROROC, LLC
Active
Parent organization
BRO ROC, LLC
Other names
perennial medical group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRO ROC, LLC
Authorized official
MR. WESLEY PAUL (OWNER)
(754) 366-7735
Entity
Organization
Contact information
Practice address
1809 NE 59TH ST, FORT LAUDERDALE, FL 33308-2443
(754) 366-7735
Mailing address
1809 NE 59TH ST, FORT LAUDERDALE, FL 33308-2443
(754) 366-7735
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
04/01/2020
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