Active NPI
Roman Medical LLC
- Family Medicine Physician
- Lake Mary, FL
National Provider Identifier
1477870160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME103345
- Legal business name
- ROMAN MEDICAL LLC
- Practice address
- 460 Raccoon St
Lake Mary, FL 32746-3802 - Phone
- (407) 739-6208
- Fax
- (407) 878-6548
- NPI assigned
- Apr 21, 2010
- Last updated
- Apr 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clara I Roman, M.D.
- Title
- Registered Agent
- Phone
- (407) 739-6208
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME103345 | FL | Primary |
Addresses
Primary practice location
460 Raccoon St
Lake Mary, FL 32746-3802
Mailing address
460 Raccoon St
Lake Mary, FL 32746-3802
Phone (407) 739-6208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Family Medicine) Physician
- Casselberry, FL
- NPI 1225274343
-
- Family Nurse Practitioner
- Winter Park, FL
- NPI 1083245906
-
- Nurse Practitioner
- Pembroke Pines, FL
- NPI 1164446571
-
- Family Nurse Practitioner
- Sanford, FL
- NPI 1225302326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367193600000",
"number": "1477870160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 RACCOON ST",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463802",
"telephone_number": "407-739-6208",
"fax_number": "407-878-6548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 RACCOON ST",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463802",
"telephone_number": "407-739-6208",
"fax_number": "407-878-6548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROMAN MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2013-04-29",
"status": "A",
"authorized_official_last_name": "ROMAN",
"authorized_official_first_name": "CLARA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "407-739-6208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME103345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.