Individual
MISS ELAINE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD/N MPH
Contact information
Practice address
9680 PINES BLVD, PEMBROKE PINES, FL 33024-6246
(954) 367-6192
(954) 342-9624
Mailing address
PO BOX 170084, HIALEAH, FL 33017-0084
(954) 367-6192
(305) 816-5844
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/11/2009
Last updated
08/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us