Organization
ROALER MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISRAEL L GRINBERG MD (MEDICAL DIRECTOR)
(305) 696-0842
Entity
Organization
Contact information
Practice address
1025 E 25TH ST, HIALEAH, FL 33013-3703
(305) 696-0842
Mailing address
1025 E 25TH ST, HIALEAH, FL 33013-3703
(305) 696-0842
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
WAIVED
FL
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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