=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174887335
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SALVATORE ROMANO, D.C.,P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/02/2012
-----------------------------------------------------
Last Update Date | 07/02/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7301A W PALMETTO PARK RD STE 203C
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33433-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-361-9103
-----------------------------------------------------
Fax | 561-361-9714
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7301A W PALMETTO PARK RD STE 203C
-----------------------------------------------------
City | BOCA RATON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33433-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-361-9103
-----------------------------------------------------
Fax | 561-361-9714
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. SALVATORE ROMANO
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 561-361-9103
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH0006497
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------