ROGER C ROQUE

EUSTIS, FL
NPI1437156916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME70970)
Enumeration Date2005-06-30
Last Update Date2011-08-25
Business Address
-- ROGER C ROQUE MD
720 N BAY ST STE 8
EUSTIS, FL 32726-2964
Phone number: 352-357-1014
Mailing Address
-- ROGER C ROQUE MD
PO BOX 1386
EUSTIS, FL 32727-1386
Phone number: 352-357-1014