Healthcare Provider Details

I. General information

NPI: 1902765324
Provider Name (Legal Business Name): ROXANA WHERLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROXANA VALDES

II. Dates (important events)

Enumeration Date: 01/21/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 BRUCE B DOWNS BLVD STE 205
WESLEY CHAPEL FL
33544-9216
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-0439
  • Fax: 813-788-6194
Mailing address:
  • Phone: 727-532-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN1104085
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: