Ms Daisy Roman, MED - Counselor in Clermont, FL

Ms Daisy Roman, MED is a Counselor - Mental Health based in Clermont, Florida. Ms Daisy Roman is licensed to practice in Florida (license number MH14569) and her current practice location is 17301 Pagonia Dr Ste 220a, Clermont, Florida. She can be reached at her office (for appointments etc.) via phone at (407) 602-8567.

NPI number for Ms Daisy Roman is 1326375601 and her current mailing address is 3739 Briar Run Dr, Clermont, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326375601.

Contact Information

Ms Daisy Roman, MED
17301 Pagonia Dr Ste 220a,
Clermont, FL 34711-5996
(407) 602-8567
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Daisy Roman
GenderFemale
SpecialityCounselor - Mental Health
Location17301 Pagonia Dr Ste 220a, Clermont, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326375601
  • Provider Enumeration Date: 11/07/2009
  • Last Update Date: 02/24/2022

Medical Identifiers

Medical identifiers for Ms Daisy Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326375601NPI-NPPES
1548915226OtherFLNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YP2500XCounselor - Professional MH14569 (Florida)Secondary
101YS0200XCounselor - School 811173 (Florida)Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health MH14569 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Daisy Roman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Daisy Roman, MED
3739 Briar Run Dr,
Clermont, FL 34711-9633

Ph: (407) 230-2357
Ms Daisy Roman, MED
17301 Pagonia Dr Ste 220a,
Clermont, FL 34711-5996

Ph: (407) 602-8567

Reviews and Comments


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