Individual
DR. RAFAEL L. ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1840 MEASE DR STE 409, SAFETY HARBOR, FL 34695-6606
(727) 443-8450
(727) 533-5911
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 532-1355
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0071857
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME0071857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006097400
—
FL
01
—
P01219568
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
07/19/2005
Last updated
03/22/2021
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