Individual
DEVIN MARY ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
112 N OAK ST, LANTANA, FL 33462-3260
(888) 482-8669
Mailing address
723 NE 4TH AVE, FORT LAUDERDALE, FL 33304-2623
(954) 309-8314
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11039150
FL
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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