Provider Demographics
NPI:1861615130
Name:BAROCHIA, AMIT C (MD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:C
Last Name:BAROCHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AMITKUMAR
Other - Middle Name:
Other - Last Name:BAROCHIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-253-4673
Mailing Address - Fax:321-951-7408
Practice Address - Street 1:8725 N WICKHAM RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-2239
Practice Address - Country:US
Practice Address - Phone:321-253-4673
Practice Address - Fax:321-253-4338
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126059207RH0000X, 207RH0003X, 207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIM999XOtherMEDICARE
FL016804800Medicaid
PA2123099OtherHIGHMARK BCBS
PA298650OtherUNISON-WMG
MD963269OtherCAREFIRST MD BCBS
PA30077858OtherAMERIHEALTH-WMG
PA166797FLTMedicare PIN
PAP00879789Medicare PIN