Sherene Andrea Roach in Deland - Pediatrics

Sherene Andrea Roach - NPI 1750468922

Sherene Andrea Roach is a Pediatrics in Deland, Florida. Sherene Andrea Roach practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sherene Andrea Roach is 1750468922. The last update date is 2007-07-08.

Sherene Andrea Roach's current location address is 1190 N Stone St, Deland, Florida. You can contact this provider via phone number 3867381792 and fax number 3867384865. The mailing address for Sherene Andrea Roach is 1190 N Stone St, Deland, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Sherene Andrea Roach
Address 1190 N Stone St, Deland, Florida
Phone Number 3867381792
Fax Number 3867384865
Sole Proprietor N
Credentials A.R.N.P.

NPI Number Detail

NPI Number 1750468922
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1190 N Stone St
City Deland
State Florida (FL)
Post Code 327202511
Phone Number 3867381792
Fax Number 3867384865

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 2994522
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
305843300 FL --

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FAQs about Sherene Andrea Roach

What is the unique identifier code issued to Sherene Andrea Roach by the Centers for Medicare & Medicaid Services (CMS)?

The Sherene Andrea Roach has been assigned the NPI (National Provider Identifier) 1750468922. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Sherene Andrea Roach?

The Sherene Andrea Roach is situated at 1190 N Stone St, in the city of Deland, state of FL, with the zip code 327202511.

What is Sherene Andrea Roach's area of expertise and its corresponding taxonomy classification?

The Sherene Andrea Roach's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.

On what date did the Sherene Andrea Roach receive the assignment of its 1750468922 from the Centers for Medicare & Medicaid Services?

The Sherene Andrea Roach was issued its 1750468922 by the Centers for Medicare & Medicaid Services on 2006-11-01.

As of what date were the details related to Sherene Andrea Roach most recently updated or revised?

The information pertaining to Sherene Andrea Roach, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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