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General NPI Number Information
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NPI Number | 1992244271
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Entity Type | Organization
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Legal Business Name | ROA REHABILITATION HEALTH SERVICES INC.
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 500 SW 130TH TER APT A401
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-4098
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Country | US
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Telephone | 786-553-2002
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Fax | 786-233-7112
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Provider Business Mailing Address
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Address Line | 500 SW 130TH TER APT A401
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-4098
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Country | US
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Telephone |
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Fax | 786-233-7112
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS FERNANDO ROA
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Credential | DPT
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Telephone | 786-553-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 22682
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License Number State | FL
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