Healthcare Provider Details

I. General information

NPI: 1982922811
Provider Name (Legal Business Name): OSMAN ROMAN WEVER S.A.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2010
Last Update Date: 02/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 BIRD RD SUITE 722
MIAMI FL
33175-3582
US

IV. Provider business mailing address

2549 JARDIN LN
WESTON FL
33327-1510
US

V. Phone/Fax

Practice location:
  • Phone: 305-559-1883
  • Fax: 305-559-1887
Mailing address:
  • Phone: 954-865-0329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: