Individual
LAURA MARIA RODRIGUEZ-ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-7981
(352) 265-7983
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021315500
—
FL
01
—
JA770Z
MEDICARE PTAN
—
Enumeration date
06/05/2013
Last updated
08/15/2024
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