Basic Information
| Provider Information | |||||||||
| NPI: | 1912975061 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROCHMAN | ||||||||
| FirstName: | FREDERICK | ||||||||
| MiddleName: | DANIEL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2225 HIGHWAY A1A | ||||||||
| Address2: | APT 308 | ||||||||
| City: | INDIAN HARBOUR BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329374939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7152092249 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2225 HIGHWAY A1A APT 308 | ||||||||
| Address2: | |||||||||
| City: | INDIAN HARBOUR BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7152092249 | ||||||||
| FaxNumber: | 3217337970 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/14/2006 | ||||||||
| LastUpdateDate: | 01/17/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | ME130242 | FL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | ME130242 | FL | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 208VP0014X | ME130242 | FL | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | JF282Z | 01 | FL | MEDICARE | OTHER | 32257800 | 05 | WI | MEDICAID | 4440089 | 05 | MI | MEDICAID |