Individual
JOSE M ROYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
11354 SW 184TH ST, MIAMI, FL 33157-6570
(305) 971-8151
(305) 971-8151
Mailing address
11354 SW 184TH ST, MIAMI, FL 33157-6570
(305) 971-8151
(305) 971-8151
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100892
FL
Other
Enumeration date
09/04/2007
Last updated
01/09/2008
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