MEDICARE: RENEE 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	101YM0800X	Mental Health Counselor	25125	FL

General Provider Information

NPI Number	:	1164399705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE ROMEO

Provider Business Mailing Address
First Line	:	1562 LAKE CRYSTAL DR APT F
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2068
Country	:	US
Telephone Number	:	347-399-4659
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 SW 27TH AVE
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-2050
Country	:	US
Telephone Number	:	954-304-9770
Fax Number	:

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

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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Directions to “ RENEE ROMEO ” Practice Location

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