Individual
AMBER ROMANOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4161 TAMIAMI TRL STE 704, PORT CHARLOTTE, FL 33952-9283
(941) 625-1110
Mailing address
4161 TAMIAMI TRL STE 704, PORT CHARLOTTE, FL 33952-9283
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTA 25815
FL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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