Provider Demographics
NPI:1083731921
Name:ROMAN, RAMIRO JR (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:RAMIRO
Middle Name:
Last Name:ROMAN
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 E OSCEOLA PKWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-8602
Mailing Address - Country:US
Mailing Address - Phone:407-348-2323
Mailing Address - Fax:407-348-8799
Practice Address - Street 1:2050 E OSCEOLA PKWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-8602
Practice Address - Country:US
Practice Address - Phone:407-348-2323
Practice Address - Fax:407-348-8799
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002169183700000X
FLPS431681835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183700000XPharmacy Service ProvidersPharmacy Technician