Provider Demographics
NPI:1588018238
Name:SAINTFORT, ROMMEL (LPN)
Entity Type:Individual
Prefix:
First Name:ROMMEL
Middle Name:
Last Name:SAINTFORT
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 NW 102ND TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3994
Mailing Address - Country:US
Mailing Address - Phone:305-761-8349
Mailing Address - Fax:
Practice Address - Street 1:410 NW 102ND TER
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-3994
Practice Address - Country:US
Practice Address - Phone:305-761-8349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN 5175947164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse