Individual
LUIS PABLO ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 JOHNSON ST STE A, HOLLYWOOD, FL 33021-6052
(305) 558-3724
Mailing address
15280 NW 79TH CT, MIAMI LAKES, FL 33016-5789
(305) 558-3724
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME163609
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
08/01/2024
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