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Organization
ROACH FAMILY WELLNESS PLLC
Active
Organization
ROACH FAMILY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK ROACH DC (CEO/OWNER)
(407) 678-2009
Entity
Organization
Contact information
Practice address
475 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-5444
(407) 678-2009
Mailing address
475 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-5444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 10874
FL
111N00000X
Chiropractor
Primary
CH 9409
FL
207P00000X
Emergency Medicine Physician
ME 96405
FL
363L00000X
Nurse Practitioner
ARNP 9165596
FL
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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