Roman, Daisy
Roman, Daisy is an sole proprietor health care provider with primary practice located at 17301 Pagonia Dr Ste 220A , Clermont FL 34711-5996. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Roman, Daisy can be contacted via phone (407) 602-8567.Contact Information
Primary practice address
17301 Pagonia Dr Ste 220A
Clermont FL 34711-5996
Phone: (407) 602-8567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | MH14569 | Florida |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 811173 | Florida |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH14569 | Florida |
Profile Details
| NPI number | 1326375601 |
|---|---|
| LBN Legal business name | Roman, Daisy |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2009 |
| Last updated | Feb 24th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326375601 | NPPES |
| Florida | Other | 1548915226 | NPI |
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