Healthcare Provider Details

I. General information

NPI: 1639830607
Provider Name (Legal Business Name): GIULIANNA MARIA ROMERO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2022
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

IV. Provider business mailing address

116 FLAME VINE DR
NAPLES FL
34110-5701
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-2000
  • Fax: 305-279-7778
Mailing address:
  • Phone: 239-537-8331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9115452
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: