Individual
MARIO ROVIROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8865 SW 16TH ST, MIAMI, FL 33165-7802
(305) 226-6565
Mailing address
8865 SW 16TH ST, MIAMI, FL 33165-7802
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AL 1080
FL
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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