Organization
AMBER ROMAN DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER ROMAN DC (OWNER)
(813) 591-5702
Entity
Organization
Contact information
Practice address
3115 LITHIA PINECREST RD, VALRICO, FL 33596-5632
(813) 591-5702
Mailing address
6411 GRENADA ISLAND AVE, APOLLO BEACH, FL 33572-2518
(813) 361-3660
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013651600
—
FL
Enumeration date
12/01/2017
Last updated
12/01/2017
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