Individual
ISELSA ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 W FLAGLER ST, CORAL GABLES, FL 33134-1604
(305) 774-3626
Mailing address
6100 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2079
(305) 398-6100
(305) 398-6099
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5192550
FL
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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