ROGER ROQUE MD LLC

LEESBURG, FL
NPI1205571015
Doing Business AsST FRANCIS PRIMARY CARE CLINIC
Entity TypeOrganization
Authorized ContactDAVID P WAGNER
Chief Financial Officer
321-204-5222
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2022-05-05
Last Update Date2023-02-03
Business Address
ROGER ROQUE MD LLC
620 S LAKE ST STE 2
LEESBURG, FL 34748-6059
Phone number: 352-314-6589
Mailing Address
ROGER ROQUE MD LLC
PO BOX 491500
LEESBURG, FL 34749-1500
Phone number: 352-314-6589