Healthcare Provider Details

I. General information

NPI: 1124225297
Provider Name (Legal Business Name): ORLANDO ROMEO SOMAN RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8850 SW 21ST ST
MIRAMAR FL
33025-2056
US

IV. Provider business mailing address

8850 SW 21ST ST
MIRAMAR FL
33025-2056
US

V. Phone/Fax

Practice location:
  • Phone: 954-704-9673
  • Fax:
Mailing address:
  • Phone: 954-704-9673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT8792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: