Individual
DR. JESUS VALENTIN ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-7108
Mailing address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 844-7108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
122449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591789
—
FL
Enumeration date
06/27/2012
Last updated
06/18/2015
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