Healthcare Provider Details

I. General information

NPI: 1710762000
Provider Name (Legal Business Name): CAITLIN ANN ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7593 BOYNTON BEACH BLVD STE 140
BOYNTON BEACH FL
33437-6161
US

IV. Provider business mailing address

PO BOX 20800
BELFAST ME
04915-4105
US

V. Phone/Fax

Practice location:
  • Phone: 561-572-9371
  • Fax: 561-499-7582
Mailing address:
  • Phone: 469-803-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9117748
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: