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Individual
DR. LUIS FERNANDO ROA
Active
Individual
DR. LUIS FERNANDO ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22682
STATE LICENSE NUMBER
FL
Enumeration date
01/24/2007
Last updated
02/27/2026
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