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Mr. Roan Emanuel Forgie
Psychiatric/Mental Health Nurse Practitioner in Winter Garden, Florida
NPI 1578744314

Roan Emanuel Forgie is a Psychiatric/Mental Health Nurse Practitioner based in Bronx, FL and is specialized in Psychiatric/Mental Health. Roan Emanuel Forgie practices in Winter Garden, FL. The NPI Number for Roan Emanuel Forgie is 1578744314 and holds a License No. 273030 (Florida).

The current practice location address for Roan Emanuel Forgie is 3065 Daniels Rd # 1077, Winter Garden, FL and can be reached out via phone at 646-591-4970.

Location: 3065 Daniels Rd # 1077, Winter Garden, FL, 10466-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578744314
Provider Name
Roan Emanuel Forgie
Credential
Provider Entity Type
Individual
Gender
Male
Address
3065 Daniels Rd # 1077, Winter Garden, FL, 10466-1409
Phone Number
646-591-4970
Fax Number
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02907775 05 NY
institution
Provider Business Practice Location Address Details
Address
3065 Daniels Rd # 1077
City
Winter Garden
State
Florida
Zip
34787-7002
Phone Number
646-591-4970
Fax Number
person
Provider Business Mailing Address Details
Address
3065 Daniels Rd # 1077
City
Winter Garden
State
Florida
Zip
34787-7002
Phone Number
646-591-4970
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
F403033 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
273030 (New York)
Definition
Definition to come...
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