Johan Mennig San Roman, PA-C

NPI 1023290269 · on the registry since 2007 · sole proprietor

Practice

Address: 975 Baptist Way
Homestead, FL 33033
Phone: (305) 793-4706
Organisation at this address: Olympia, Llp
Pvl Associates Inc
Pastrana Bariatrics Pa
Homestead Hospital, Inc.
Homestead Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 111

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida