Individual
ELKE ROUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16505 NW 90TH AVE, MIAMI LAKES, FL 33018-6169
(305) 364-0818
Mailing address
16505 NW 90TH AVE, MIAMI LAKES, FL 33018-6169
(305) 364-0818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3359782
FL
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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