Provider Demographics
NPI:1487365672
Name:ROFFE, ALEXANDRA (MS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:ROFFE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10631 SW 146TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-2971
Mailing Address - Country:US
Mailing Address - Phone:305-763-2338
Mailing Address - Fax:
Practice Address - Street 1:7000 NW 52ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4845
Practice Address - Country:US
Practice Address - Phone:305-559-8838
Practice Address - Fax:305-559-6608
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH23335101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health