MEDICARE: DAVID ROMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME128901	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518036748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ROMAN MD

Provider Business Mailing Address
First Line	:	8211 GRAND PRIX LN
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-2704
Country	:	US
Telephone Number	:	201-421-5774
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 N STATE ROAD 7 STE 120
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-5117
Country	:	US
Telephone Number	:	201-428-5774
Fax Number	:	561-792-2918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	03/20/2024

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Directions to “ DAVID ROMAN MD” Practice Location

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