Healthcare Provider Details

I. General information

NPI: 1295966018
Provider Name (Legal Business Name): JOHN CHARLES ROMANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2009
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 N STATE ROAD 7 STE 305
MARGATE FL
33063-5737
US

IV. Provider business mailing address

2825 N STATE ROAD 7 STE 305
MARGATE FL
33063-5737
US

V. Phone/Fax

Practice location:
  • Phone: 202-415-9235
  • Fax:
Mailing address:
  • Phone: 202-415-9253
  • Fax: 547-205-7987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME112032
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: