Individual
ALEXANDRA THERESA ISSA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6058
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
ME141147
FL
2084N0400X
Neurology Physician
Primary
ME141147
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
02/20/2026
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