Roa, Luis Fernando

Roa, Luis Fernando is an individual health care provider with primary practice located at 11300 Nw 87Th Ct Suite 157, Hialeah Gardens FL 33018-4586. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Roa, Luis Fernando can be contacted via phone (786) 762-3915.

Contact Information

Primary practice address
11300 Nw 87Th Ct Suite 157 Hialeah Gardens FL 33018-4586
Phone: (786) 762-3915
Fax: (786) 762-3916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT22682 Florida

Profile Details

NPI number 1174678775
LBN Legal business name Roa, Luis Fernando
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174678775 NPPES
Florida Other PT22682 STATE LICENSE NUMBER

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