Patel, Roma
Patel, Roma is an individual health care provider with primary practice located at 15815 Shaddock Dr Ste 130 , Winter Garden FL 34787-5773. She recently has 5 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Patel, Roma can be contacted via phone (407) 605-2321.Contact Information
Primary practice address
15815 Shaddock Dr Ste 130
Winter Garden FL 34787-5773
Phone: (407) 605-2321
Fax: (407) 671-4155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO3710 | Florida |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | PO3710 | Florida |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO3710 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO3710 | Florida |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3710 | Florida |
Profile Details
| NPI number | 1174078109 |
|---|---|
| LBN Legal business name | Patel, Roma |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2016 |
| Last updated | Feb 19th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174078109 | NPPES |
| Florida | MEDICAID | 020299700 | |
| Florida | Other | IY9YJ | |
| Florida | Other | 13880016 |
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