Organization · NPI-2

Alex C Roa-Olmo D C P A

Clinic/Center · Ocoee, FL

NPI number1902077548
StatusActive
Last updated in NPPESMay 21, 2008

Details

NPI
1902077548
Entity type
Organization (NPI-2)
Legal business name
Alex C Roa-Olmo D C P A
Organization subpart
No
Enumeration date
Mar 21, 2008
Last updated
May 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterCH9031FLYes

Practice location

8949 W Colonial Dr
Ocoee, FL 34761-6918

Phone 407-299-2350 · Fax 407-299-4885

Mailing address

8949 W Colonial Dr
Ocoee, FL 34761-6918

Phone 407-299-2350 · Fax 407-299-4885

Authorized official

Alex C. Roa-Olmo
Chiropractic Physician/Owner
4072992350

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