MEDICARE: RO MEDICAL SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	HCC4269	FL

General Provider Information

NPI Number	:	1831108893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RO MEDICAL SERVICES, INC

Provider Business Mailing Address
First Line	:	7200 NW 7TH ST
Second Line	:	SUITE 333
City	:	MIAMI
State	:	FL
Zip	:	33126-2948
Country	:	US
Telephone Number	:	305-261-0011
Fax Number	:	305-261-0811

Provider Business Practice Location Address
First Line	:	7200 NW 7TH ST
Second Line	:	SUITE 333
City	:	MIAMI
State	:	FL
Zip	:	33126-2948
Country	:	US
Telephone Number	:	305-261-0011
Fax Number	:	305-261-0811

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RAUL HATEM JR.
Credential	:
Telephone Number	:	305-261-0011

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	08/22/2020

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