Individual
EVELYN DEROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
5575 NW WESLEY CT, PORT SAINT LUCIE, FL 34986-4232
(305) 301-4416
Mailing address
5575 NW WESLEY CT, PORT SAINT LUCIE, FL 34986-4232
(305) 301-4416
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT 760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT 760
RESPIRATORY THERAPIST
FL
Enumeration date
05/06/2009
Last updated
05/06/2009
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