NPI 1366772873

Roger Deruiter, BS

Practitioner Community Health Worker West Palm Beach, FL

Practice location

Address: 89 Westwood Cir E, West Palm Beach, FL 33411-4432
Phone: (917) 250-0070

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 13961 (FL)

Other Community Health Worker providers in Florida →

Registry record

NPI: 1366772873
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jan 2010
Record last updated: 5 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.