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NPI Code Detail

MEDICARE: MRS. GEORGINA ROMERO

MEDICARE:  MRS. GEORGINA  ROMERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician20160205
2247200000XOther Technician20160205FL

General Provider Information

NPI Number : 1811425069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GEORGINA ROMERO
Provider Business Mailing Address
First Line : 4575 SE DIXIE HWY
Second Line :
City : STUART
State : FL
Zip : 34997-6826
Country : US
Telephone Number : 855-832-6727
Fax Number :
Provider Business Practice Location Address
First Line : 419 W 49TH ST STE 210
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3657
Country : US
Telephone Number : 855-832-6727
Fax Number : 772-675-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2017
Last Update Date : 06/01/2017

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Directions to “ MRS. GEORGINA ROMERO ” Practice Location

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