Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Johan Mennig San Roman, PA-C

Individual provider Medical Physician Assistant · NPI 1023290269

Mr. Johan Mennig San Roman, PA-C is a Medical Physician Assistant in Homestead, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

975 Baptist Way
Homestead, FL 33033-7600
Phone: (305) 793-4706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA3409 (FL)

Record details

NPI number1023290269
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 29, 2007
Last updated in NPPESNovember 29, 2007

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