Roache, Derick Danvil

Roache, Derick Danvil is an individual health care provider with primary practice located at 1201 First Street South , Winter Haven FL 33880. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Roache, Derick Danvil can be contacted via phone (863) 297-1702.

Contact Information

Primary practice address
1201 First Street South Winter Haven FL 33880
Phone: (863) 297-1702
Fax: (863) 291-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN9178432 Florida

Profile Details

NPI number 1770663478
LBN Legal business name Roache, Derick Danvil
Credentials RN LCSW PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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