Individual
MISS LAURA E ROMAN CARDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 548-6000
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 548-6000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18050
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DM179192
ASSMCA
PR
Enumeration date
12/01/2010
Last updated
07/13/2023
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