Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger Roque MD LLC

Organization Family Medicine Physician · NPI 1205571015

Roger Roque MD LLC is a Family Medicine Physician in Leesburg, Florida. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

620 S Lake St Ste 2
Leesburg, FL 34748-6059
Phone: (352) 314-6589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1205571015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Wagner — Chief Financial Officer · (321) 204-5222
Other names St Francis Primary Care Clinic
NPI enumeratedMay 5, 2022
Last updated in NPPESFebruary 3, 2023
Certification dateFebruary 3, 2023
Mailing addressPo Box 491500, Leesburg, FL 34749-1500

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