Individual
MR. ROGER DERUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
89 WESTWOOD CIR E, WEST PALM BEACH, FL 33411-4432
(917) 250-0070
Mailing address
89 WESTWOOD CIR E, WEST PALM BEACH, FL 33411-4432
(917) 250-0070
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13961
FL
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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