Roman, Justo Manuel

Roman, Justo Manuel is an individual health care provider with primary practice located at 5255 Office Park Blvd Ste 110 Apc Pediatrics, Bradenton FL 34203-3443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Roman, Justo Manuel can be contacted via phone (941) 755-7000.

Contact Information

Primary practice address
5255 Office Park Blvd Ste 110 Apc Pediatrics Bradenton FL 34203-3443
Phone: (941) 755-7000
Fax: (941) 755-7088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1094 Virgin Islands
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME11223 Florida

Profile Details

NPI number 1922065713
LBN Legal business name Roman, Justo Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 28th, 2014 - about 12 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922065713 NPPES
Florida MEDICAID 007370200

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