Individual
KELSEY BETH ROQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
17560 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 744-7002
(352) 735-3233
Mailing address
17560 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
(352) 744-7002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11111
FL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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