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1033445069
ROA-LICEA MD, PA
MIAMI, FL
NPI
1033445069
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Entity Type
Organization
Authorized Contact
IRINA LICEA
Co Owner
786-564-2584
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2009-10-27
Last Update Date
2012-07-19
Business Address
ROA-LICEA MD, PA
1321 NW 14TH STREET SUITE 601
MIAMI, FL 33125-1659
Phone number: 305-545-4980
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Mailing Address
ROA-LICEA MD, PA
1321 NW 14TH ST SUITE 601
MIAMI, FL 33125-1673
Phone number: 305-545-4980
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