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Organization
LIFETIME MEDICAL ASSOCIATES OF AVENTURA
Active
Organization
LIFETIME MEDICAL ASSOCIATES OF AVENTURA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY D ROSKIN MD (OWNER)
(305) 409-0197
Entity
Organization
Contact information
Practice address
21097 NE 27TH CT STE 300, AVENTURA, FL 33180-1206
(305) 409-0197
Mailing address
21097 NE 27TH CT STE 300, AVENTURA, FL 33180-1206
(786) 244-2700
(800) 980-3761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME-74069
LICENSE
FL
Enumeration date
08/04/2020
Last updated
03/24/2025
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