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Individual

JUSTO MANUEL ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5255 OFFICE PARK BLVD STE 110, APC PEDIATRICS, BRADENTON, FL 34203-3443
(941) 755-7000
(941) 755-7088
Mailing address
5255 OFFICE PARK BLVD STE 110, APC PEDIATRICS, BRADENTON, FL 34203-3443
(941) 755-7000
(941) 755-7088

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1094
VI
208000000X
Pediatrics Physician
Primary
ME11223
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007370200
FL
Enumeration date
04/27/2006
Last updated
04/28/2014
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