Individual
NORMA B ROQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10980 SW 184TH ST, CUTLER BAY, FL 33157-6615
(305) 266-2929
(305) 627-3862
Mailing address
8750 NW 36TH ST STE 300, DORAL, FL 33178-2499
(305) 262-1610
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001521440
—
FL
01
—
PA9108145
MEDICAL LICENSE
FL
Enumeration date
05/13/2015
Last updated
04/27/2023
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