Healthcare Provider Details

I. General information

NPI: 1801706031
Provider Name (Legal Business Name): ROMANY ESTAFANOS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7855 SW STATE ROAD 200
OCALA FL
34476-3976
US

IV. Provider business mailing address

5392 SW 165TH STREET RD
OCALA FL
34473-3018
US

V. Phone/Fax

Practice location:
  • Phone: 532-512-6627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71457
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: