ST FRANCIS PRIMARY CARE CLINIC
NPI 1205571015
Clinic/Center - Multi-Specialty in Leesburg, FL
About St Francis Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST FRANCIS PRIMARY CARE CLINIC (NPI 1205571015) is a healthcare organization registered as a multi-specialty in Leesburg, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists David P Wagner, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2255257
Roger C Roque MD LLC Dba St Francis Primary Care Clinic · Leesburg, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Roger Roque MD LLC's NPI number?
The NPI number for Roger Roque MD LLC is 1205571015. It was assigned to this organization in the NPPES registry on May 5, 2022. The provider is doing business as St Francis Primary Care Clinic.
Where is Roger Roque MD LLC located?
Roger Roque MD LLC is located at 620 S Lake St Ste 2, Leesburg, FL 34748. The listed phone number is (352) 314-6589.
What is Roger Roque MD LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Roger Roque MD LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2255257) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Roger Roque MD LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Roger Roque MD LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Roger Roque MD LLC was last updated on February 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# St Francis Primary Care Clinic · NPI 1205571015
Multi-Specialty organization in Leesburg, Florida. Organization record, active in the CMS NPPES registry since May 5, 2022.
## Identity
- **NPI:** 1205571015 (Entity type: Organization)
- **Enumerated:** May 5, 2022
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Roger Roque Md Llc
- **Organization subpart:** No
- **Authorized official:** David Wagner, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 620 S LAKE ST STE 2, Leesburg, FL 34748-6059
- **Phone:** (352) 314-6589
## Record status
- **NPPES last updated:** February 3, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205571015) · Data from the CMS NPPES public registry.