Individual
MR. JORGE L ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M A55664
Contact information
Practice address
42 NW 27TH AVE STE 411, MIAMI, FL 33125-5136
(786) 360-4581
(786) 360-4942
Mailing address
42 NW 27TH AVE STE 411, MIAMI, FL 33125-5136
(786) 360-4581
(786) 360-4942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 55664
FL
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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