Individual
MRS. DIANA ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10841 PARK DR, RIVERVIEW, FL 33569-5148
(813) 677-6900
(813) 677-6903
Mailing address
10841 PARK DR, RIVERVIEW, FL 33569-5148
(813) 677-6900
(813) 677-6903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME61135
FL
Other
Enumeration date
07/02/2006
Last updated
02/28/2012
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