ROMANA PETROVICH (NPI# 1629073143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629073143 |
Entity Type | Individual |
Full Name | ROMANA PETROVICH |
Credential | ARNP |
Practice Address |
430 E Central Ave Winter Haven FL 33880-3050 |
Mailing Address |
1324 Lakeland Hills Blvd Attn: Medical Staff Office Lakeland FL 33805-4543 |
Practice Telephone | 8632846850 |
Practice Fax Number | 8632846853 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2015-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP3343202 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
430 E CENTRAL AVE |
City | WINTER HAVEN |
State | FL |
Zip Code | 33880-3050 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083618698 | Raul Alvarez Jr. | Pediatrics | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2005-06-10 |
1568946697 | Tracy Lynn Siebold | Nurse Practitioner | 430 E Central Ave, Winter Haven, FL 33880 | 2018-09-25 |
1053757526 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2013-05-10 |
1083652598 | Tammy C D'souza | Family Medicine | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2006-06-04 |
1740286277 | Susan Sandoval | Pediatrics | 430 E Central Ave, Winter Haven, FL 33880-3050 | 2005-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
Find all providers in zip 33880 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568946697 | Tracy Lynn Siebold | Nurse Practitioner | 430 E Central Ave, Winter Haven, FL 33880 | 2018-09-25 |
1942788005 | Payton Rodriguez | Nurse Practitioner | 325 1st St N, Winter Haven, FL 33881-4111 | 2018-08-01 |
1942722582 | Megan Brooke Godby | Nurse Practitioner | 550 Pope Ave Nw, Winter Haven, FL 33881-4679 | 2017-07-15 |
1285174482 | Laura Strehle Kobler | Nurse Practitioner | 400 Avenue K Se Ste 6, Winter Haven, FL 33880-4123 | 2017-03-07 |
1689086209 | Heather Torres | Nurse Practitioner | 325 1st St N, Winter Haven, FL 33881-4111 | 2014-06-02 |
1942594098 | April Leslie Holm | Nurse Practitioner | 550 Pope Ave Nw, Winter Haven, FL 33881-4679 | 2011-06-07 |
1528376571 | Christine Rowland | Nurse Practitioner | 550 Pope Ave Nw, Winter Haven, FL 33881-4679 | 2010-09-23 |
1730343054 | Courtney Jones | Nurse Practitioner | 500 E Central Ave, Winter Haven, FL 33880-3053 | 2008-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417072 | Carmen Moreno | Nurse Practitioner | 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 | 2020-11-05 |
1366043614 | Christi Koshy | Nurse Practitioner | 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 | 2020-11-03 |
1730789322 | Michelle Yen-vera | Nurse Practitioner | 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 | 2020-11-01 |
1376143487 | Aimee N Jorgenson Stough | Nurse Practitioner | 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 | 2020-10-28 |
1588271233 | Olivia Janelle De Jong | Nurse Practitioner | 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 | 2020-09-28 |
1801407796 | Elisabeth Morley Chinlund | Nurse Practitioner | 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 | 2020-08-13 |
1972113025 | Nicole Horn | Nurse Practitioner | 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 | 2020-08-04 |
1073131850 | Olivia Dawn Wilson | Nurse Practitioner | 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 | 2020-07-08 |
1427687565 | Cortney M Starr | Nurse Practitioner | 2261 Kingfisher Ln, Clearwater, FL 33762-3323 | 2020-04-01 |
1285263335 | Summer Leigh Moran | Nurse Practitioner | 528 W Baldwin Rd # A, Panama City, FL 32405-3313 | 2020-04-01 |
Find all providers with the same taxonomy |
City | WINTER HAVEN |
Zip Code | 33880 |
Please comment or provide details below to improve the information on ROMANA PETROVICH.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.