Healthcare Provider Details

I. General information

NPI: 1558777417
Provider Name (Legal Business Name): CHRISTINA ROEMER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2014
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 S TAMIAMI TRL
SARASOTA FL
34231-7006
US

IV. Provider business mailing address

PO BOX 743756
ATLANTA GA
30374-3756
US

V. Phone/Fax

Practice location:
  • Phone: 941-364-8220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9107988
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: