Individual
ELIZABETH ROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13685 DOCTORS WAY, SUITE 310, FORT MYERS, FL 33912-4336
(239) 343-1400
(239) 343-1430
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C01449
MD
363A00000X
Physician Assistant
Primary
PA9106092
FL
Other
Enumeration date
06/04/2006
Last updated
10/21/2020
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