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Zeidy Roche MD PA

Internal Medicine, Nephrology in Fort Pierce, FL. Organization (NPI-2).

NPI number1437581394
StatusActive
Last updated in NPPESAug 2, 2013

Details

NPI
1437581394
Entity type
Organization (NPI-2)
Legal business name
Zeidy Roche MD PA
Organization subpart
No
Enumeration date
Aug 2, 2013
Last updated
Aug 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, Nephrology––Yes

Practice location

2501 Ohio Ave
Fort Pierce, FL 34947-4761

Phone 772-468-7212

Mailing address

2501 Ohio Ave
Fort Pierce, FL 34947-4761

Phone 772-468-7212

Authorized official

Zeidy Roche
Doctor
7724687212

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