Amber Roman DC PA
Organization Active NPI Chiropractor · Valrico, FL
NPI 1982118717 · NPPES record last updated Dec 1, 2017
Key facts
- NPI
- 1982118717
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH10993 (FL)
- Legal business name
- AMBER ROMAN DC PA
- Practice address
- 3115 Lithia Pinecrest Rd
Valrico, FL 33596-5632 - Phone
- (813) 591-5702
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Amber Roman, DC
- Title
- Owner
- Phone
- (813) 591-5702
National Provider Directory
Locations
3115 Lithia Pinecrest Rd
Valrico, FL 33596
Phone (765) 242-0437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CH10993 | FL | Yes |
Addresses
Primary practice location
3115 Lithia Pinecrest Rd
Valrico, FL 33596-5632
Mailing address
6411 Grenada Island Ave
Apollo Beach, FL 33572-2518
Phone (813) 361-3660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013651600 | Medicaid | FL |
Other providers in Valrico, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.