MEDICARE: DEVIN MARY ROACH PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11039150	FL

General Provider Information

NPI Number	:	1003604752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVIN MARY ROACH PMHNP

Provider Business Mailing Address
First Line	:	723 NE 4TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-2623
Country	:	US
Telephone Number	:	954-309-8314
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 N OAK ST
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-3260
Country	:	US
Telephone Number	:	888-482-8669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

Similar Medicare Providers

1477823466 — MRS. DIONNE ANGELA DADD-SAMUELS APRN
Practice Location Address:

112 N OAK ST
LANTANA, FL
33462-3260

Practice Phone: 561-565-6837
Practice Fax: 561-828-9310

1487846192 — DR. CHRISTOPHER LA TOURETTE LA RICHE M.D.
Practice Location Address:

112 N OAK ST , SUITE 108
LANTANA, FL
33462-3260

Practice Phone: 561-337-2568
Practice Fax:

1841627171 — EBH SERVICES OF FLORIDA, INC.
Practice Location Address:

112 N OAK ST , SUITE 109
LANTANA, FL
33462-3260

Practice Phone: 615-567-7252
Practice Fax:

1437519055 — EBH SERVICES OF FLORIDA
Practice Location Address:

112 N OAK ST , SUITE 109
LANTANA, FL
33462-3260

Practice Phone: 561-337-2600
Practice Fax:

1255818639 — PB OUTPATIENT SERVICES FLORIDA, LLC
Practice Location Address:

112 N OAK ST STE 109
LANTANA, FL
33462-3260

Practice Phone: 615-567-7252
Practice Fax:

1033796982 — THE BEST TREATMENT CENTER LLC
Practice Location Address:

112 N OAK ST STE 109
LANTANA, FL
33462-3260

Practice Phone: 561-562-6269
Practice Fax:

Directions to “ DEVIN MARY ROACH PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.