DR. LILY SAUSA ROCHA MD NPI 1073519518

NPI Information

NPI: 1073519518
Provider Name: DR. LILY SAUSA ROCHA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
PO BOX 578
GREEN COVE SPRINGS, FL
ZIP 32043
Phone: (904) 529-2862
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DR. Lily Sausa Rocha, MD is a general practice in Green Cove Springs, FL. DR. Lily Sausa Rocha, MD NPI is 1073519518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PO BOX 578
GREEN COVE SPRINGS, FL
ZIP 32043-578
Phone: (904) 529-2862
Fax: (904) 529-2802

The enumeration date for this NPI number is 6/21/2005 and was last updated on 9/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME0039226	FLORIDA	No
2	208D00000X	General Practice		ME0039226	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15875Y	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	D67134	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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