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

Mark Christopher Roque, APRN

Individual provider Family Nurse Practitioner · NPI 1467802892

Mark Christopher Roque, APRN is a Nurse Practitioner in Dade City, Florida. Qualified in 2015, 11 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

13933 17th St Ste 101
Dade City, FL 33525-4604
Phone: (352) 567-6763
Fax: (352) 567-2146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN3091802 (FL)

Record details

NPI number1467802892
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJune 16, 2016
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address13933 17th St, Suite 101, Dade City, FL 33525-4604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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