Healthcare Provider Details

I. General information

NPI: 1487562658
Provider Name (Legal Business Name): TAIANA ROMERO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2568 CHICKASAW PLUM LOOP
CLERMONT FL
34711-9504
US

IV. Provider business mailing address

2568 CHICKASAW PLUM LOOP
CLERMONT FL
34711-9504
US

V. Phone/Fax

Practice location:
  • Phone: 386-266-9874
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number9664575
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: