Healthcare Provider Details
I. General information
NPI: 1043485790
Provider Name (Legal Business Name): TORFAY SHARIFNIA ROMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/24/2008
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2415 N ORANGE AVE SUITE 700
ORLANDO FL
32804-5505
US
IV. Provider business mailing address
2415 N ORANGE AVE SUITE 700
ORLANDO FL
32804-5505
US
V. Phone/Fax
- Phone: 407-303-2474
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 46278 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | ME120556 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RT0003X |
| Taxonomy | Transplant Hepatology Physician |
| License Number | ME120556 |
| License Number State | FL |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0008X |
| Taxonomy | Hepatology Physician |
| License Number | ME120556 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: