Individual
PAUL E ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1951 SW 172ND AVE STE 314, MIRAMAR, FL 33029
(549) 447-5206
(954) 447-5259
Mailing address
1951 SW 172ND AVE STE 314, MIRAMAR, FL 33029-5614
(549) 447-5206
(954) 447-5259
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME123129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15572900
—
FL
Enumeration date
03/31/2010
Last updated
06/28/2018
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