Individual
BROOKE ANN DEROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(337) 377-4116
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9120557
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128482900
—
FL
01
—
8QTA3
BCBS
FL
Enumeration date
05/22/2023
Last updated
11/17/2025
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