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Organization
A B ROA MEDICAL CENTER PA
Active
Organization
A B ROA MEDICAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO B ROA M.D. (PRESIDENT)
(863) 465-6200
Entity
Organization
Contact information
Practice address
201 US HIGHWAY 27 S, LAKE PLACID, FL 33852-7904
(863) 465-6200
(863) 465-9217
Mailing address
PO BOX 2829, LAKE PLACID, FL 33862-2829
(863) 465-6200
(863) 465-9217
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0042772
FL
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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