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AUDRIS MELITA BOL ROA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
83 COLUMBIA ST, ORLANDO, FL 32806-1101
(321) 843-3220
(321) 843-3210
Mailing address
7600 GATEWAY BLVD, NEWARK, CA 94560-1159

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
156068
CA

Other

Enumeration date
07/01/2015
Last updated
08/07/2025
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