Healthcare Provider Details

I. General information

NPI: 1649100173
Provider Name (Legal Business Name): ROMTECH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 SILVERMINE RD
BROOKFIELD CT
06804-2047
US

IV. Provider business mailing address

101 SILVERMINE RD
BROOKFIELD CT
06804-2047
US

V. Phone/Fax

Practice location:
  • Phone: 813-787-6620
  • Fax: 813-787-6620
Mailing address:
  • Phone: 813-787-6620
  • Fax: 813-787-6620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0404X
TaxonomyCardiac Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. VANESSA LEONARD
Title or Position: EVA MANAGER
Credential: LEONARD
Phone: 813-787-6620