Organization
ROGER ROUSSEAU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ROUSSEAU MD PA (PSYCHIATRIST)
(305) 598-3082
Entity
Organization
Contact information
Practice address
6401 SW 87TH AVE, 114, MIAMI, FL 33173
(305) 598-3082
(305) 598-2524
Mailing address
6401 SW 87TH AVE, 114, MIAMI, FL 33173
(305) 598-3082
(305) 598-2524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME29911
FL
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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