Healthcare Provider Details

I. General information

NPI: 1114689890
Provider Name (Legal Business Name): NERMINE R ROFAEL CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2021
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 UNIVERSITY PKWY STE 201
SARASOTA FL
34243-2973
US

IV. Provider business mailing address

15662 FRUITVILLE RD
SARASOTA FL
34240-9297
US

V. Phone/Fax

Practice location:
  • Phone: 941-359-8300
  • Fax: 941-359-8310
Mailing address:
  • Phone: 903-758-2610
  • Fax: 903-758-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11031912
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: