Roa-Licea Md, PA

NPI #1033445069 in Miami, Florida

Provider Information

NPI Number: 1033445069
Entity Type: Organization
Organization Name: Roa-Licea Md, PA
Primary Specialty: Specialist
Enumeration Date: Oct 27, 2009
Last Updated: Jul 19, 2012

Practice Location

Address: 1321 NW 14TH STREET
Address 2: SUITE 601
City: Miami
State: Florida
ZIP Code: 33125-1659
Phone: (305) 545-4980

Authorized Official

Name: DR. IRINA LICEA, M.D
Title: CO-OWNER
Phone: (786) 564-2584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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