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General NPI Number Information
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NPI Number | 1689927220
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Entity Type | Individual
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Provider Name | CARLOS ANGEL ROMERO PA
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Gender | Male
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 8000 RED BUG LAKE RD STE 200
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City | OVIEDO
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State | FL
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Zip | 32765-9265
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Country | US
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Telephone | 407-366-6004
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Fax | 407-366-6919
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Provider Business Mailing Address
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Address Line | 5564 E GRANT ST
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City | ORLANDO
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State | FL
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Zip | 32822-1666
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Country | US
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Telephone | 321-235-6230
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Fax | 321-235-6246
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9106927
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License Number State | FL
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