Organization
FRIDLEY ROEMER HCS, INC.
Active
Organization
FRIDLEY ROEMER HCS, INC.
Active
Other names
Fridley Roemer Health Care Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA ROEMER PH.D NP-C (OWNER/PROVIDER)
(850) 896-1387
Entity
Organization
Contact information
Practice address
644 FLORIDA AVE, UNIT E, PANAMA CITY, FL 32401-6355
(850) 896-1387
Mailing address
644 FLORIDA AVE, UNIT E, PANAMA CITY, FL 32401-6355
(850) 896-1387
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NP1376612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200184549
—
FL
01
—
1376612
MSC. IDENTIFIER STATE LIC
FL
01
—
R49453
STATE LICENSE #
NM
01
—
TRICARE STANDARD
—
FL
01
—
Y6683
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/30/2006
Last updated
07/21/2022
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