SUNY ROMAN

TAMPA, FL
NPI1437848512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  11026019)
Enumeration Date2023-05-03
Last Update Date2024-02-12
Business Address
SUNY ROMAN APRN
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618-2040
Phone number: 800-640-3451
Mailing Address
SUNY ROMAN APRN
5712 21ST AVE W
BRADENTON, FL 34209-5606
Phone number: 941-795-0105
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