MEDICARE: GINA ROMEO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist		FL

General Provider Information

NPI Number	:	1093678468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GINA ROMEO

Provider Business Mailing Address
First Line	:	1134 LAMBOLL AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32205-5100
Country	:	US
Telephone Number	:	352-538-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1580 BLANDING BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-1834
Country	:	US
Telephone Number	:	904-568-5820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “ GINA ROMEO ” Practice Location

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