Individual
DR. PLACIDO M ROQUIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
6801 US HIGHWAY 27 N, STE B1, SEBRING, FL 33870-7840
(863) 385-7757
(863) 385-3564
Mailing address
19105 N US HIGHWAY 41, SUITE 300, LUTZ, FL 33549-4206
(863) 385-7757
(863) 385-3564
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME48281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020007111
RAILROAD MEDICARE
FL
05
—
045590301
—
FL
Enumeration date
04/25/2006
Last updated
04/03/2017
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