NPI | 1134668684 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH ANN ROCHE A RN P C 386-774-1223 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9343804) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2017-02-16 |