Roche, Cheryl Kim

Roche, Cheryl Kim is an individual health care provider with primary practice located at 1375 Roberts Dr Ste 204 , Jacksonville Beach FL 32250-3209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roche, Cheryl Kim can be contacted via phone (904) 247-0056.

Contact Information

Primary practice address
1375 Roberts Dr Ste 204 Jacksonville Beach FL 32250-3209
Fax: (904) 241-0065
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN2948662 Florida

Profile Details

NPI number 1326329921
LBN Legal business name Roche, Cheryl Kim
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2011
Last updated Nov 15th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326329921 NPPES
Florida MEDICAID 116180700

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