Individual
KIRSTI ELLEN ROEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
620 10TH ST N STE 2C, ST PETERSBURG, FL 33705-1407
(727) 824-7120
(727) 824-8329
Mailing address
620 10TH ST N STE 2C, ST PETERSBURG, FL 33705-1407
(727) 824-7120
(727) 824-8329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6578
OH
152W00000X
Optometrist
Primary
OPC5540
FL
Other
Enumeration date
06/02/2017
Last updated
07/18/2022
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