A B Roa Medical Center PA

NPI #1396934287 in Lake Placid, Florida

Provider Information

NPI Number: 1396934287
Entity Type: Organization
Organization Name: A B Roa Medical Center PA
Primary Specialty: General Practice
Enumeration Date: Oct 17, 2007
Last Updated: Oct 17, 2007

Practice Location

Address: 201 US HIGHWAY 27 S
City: Lake Placid
State: Florida
ZIP Code: 33852-7904
Phone: (863) 465-6200

Authorized Official

Name: DR. ANTONIO B ROA, M.D.
Title: PRESIDENT
Phone: (863) 465-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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