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Individual

ISAIAH ROUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
303 TEAKWOOD LN, ALTAMONTE SPRINGS, FL 32701-2848
(386) 344-4723
Mailing address
303 TEAKWOOD LN, ALTAMONTE SPRINGS, FL 32701-2848
(386) 344-4723

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/13/2024
Last updated
02/13/2024
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