Provider Demographics
NPI:1225274343
Name:ROMAN, CLARA ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARA
Middle Name:ISABEL
Last Name:ROMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:807 S ORLANDO AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4870
Mailing Address - Country:US
Mailing Address - Phone:407-515-2211
Mailing Address - Fax:407-539-0469
Practice Address - Street 1:2041 SCHULLER WAY
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5398
Practice Address - Country:US
Practice Address - Phone:407-303-2814
Practice Address - Fax:407-303-2517
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME103345207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine