| NPI | 1447286745 |
|---|---|
| Other Name | ROA |
| Entity Type | Organization |
| Authorized Contact | ABDON J MEDINA Medical Director 954-776-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME47189) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-01-31 |