Audris Melita Bol Roa, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

156068 Issued in CA

Practice address

83 Columbia St
Orlando, FL 32806-1101

Phone

(321) 843-3220

Fax

(321) 843-3210

NPI assigned

Jul 1, 2015

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1144603796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 GATEWAY BLVD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 COLUMBIA ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061101",
            "telephone_number": "321-843-3220",
            "fax_number": "321-843-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROA",
        "first_name": "AUDRIS",
        "middle_name": "MELITA BOL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "156068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rma of South Orlando LLC
• RMD Group Home,LLC
• Soraya Roa, APRN
• Leane Norton Roach, PT
• Sherene Andrea Roach, A.R.N.P.
• Lisseth Carolina Robayo Pulgar
• Adam Philip Robbins, LMHC

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.