Individual
EDGARD ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 689-5861
(305) 689-5091
Mailing address
1157 NW 206TH TER, MIAMI GARDENS, FL 33169-2341
(305) 987-3576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11001625
FL
363L00000X
Nurse Practitioner
Primary
APRN11001625
FL
Other
Enumeration date
11/15/2019
Last updated
12/13/2019
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