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Lazaro Roque, COTA
Specialist in North Miami, Florida
NPI 1134425242

Lazaro Roque is a Specialist based in North Miami, FL. Lazaro Roque practices in North Miami, FL and has the professional credentials of COTA. The NPI Number for Lazaro Roque is 1134425242 and holds a License No. OAT 11601 (Florida).

The current practice location address for Lazaro Roque is 1897 Ne 146Th St, North Miami, FL and can be reached out via phone at 305-949-4191 and via fax at 305-949-4833.

Location: 1897 Ne 146Th St, North Miami, FL, 33181-1423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134425242
Provider Name
Lazaro Roque
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
1897 Ne 146Th St, North Miami, FL, 33181-1423
Phone Number
305-949-4191
Fax Number
305-949-4833
Provider Enumeration Date
02/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OAT11601 01 FL COTA FLORIDA LICENSE
institution
Provider Business Practice Location Address Details
Address
1897 Ne 146Th St
City
North Miami
State
Florida
Zip
33181-1423
Phone Number
305-949-4191
Fax Number
305-949-4833
person
Provider Business Mailing Address Details
Address
1897 Ne 146Th St
City
North Miami
State
Florida
Zip
33181-1423
Phone Number
305-949-4191
Fax Number
305-949-4833
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OAT 11601 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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