Provider Demographics
NPI:1730743154
Name:NOOS, ROMANY
Entity type:Individual
Prefix:
First Name:ROMANY
Middle Name:
Last Name:NOOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8237 60TH STREET CIR E APT 703
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-3187
Mailing Address - Country:US
Mailing Address - Phone:929-389-9579
Mailing Address - Fax:
Practice Address - Street 1:3724 84TH AVENUE CIR E
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-7800
Practice Address - Country:US
Practice Address - Phone:941-360-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS57217183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist