Healthcare Provider Details

I. General information

NPI: 1649487703
Provider Name (Legal Business Name): INFANTS AND CHILDREN PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 ALTERNATE AIA SOUTH SUITE 230
JUPITER FL
33477-4063
US

IV. Provider business mailing address

5205 VILLAGE BLVD
WEST PALM BEACH FL
33407-7907
US

V. Phone/Fax

Practice location:
  • Phone: 561-743-9842
  • Fax: 561-743-9656
Mailing address:
  • Phone: 561-242-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: RONALD A ROMEAR
Title or Position: PARTNER OWNER
Credential: MD
Phone: 561-242-0227