MEDICARE: MICHAEL ROMEO DPT

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	225100000X	Physical Therapist	41076	FL

General Provider Information

NPI Number	:	1356115810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ROMEO DPT

Provider Business Mailing Address
First Line	:	24 HENRY ST
Second Line	:
City	:	FARMINGDALE
State	:	NY
Zip	:	11735-4113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD STE 225
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1991
Country	:	US
Telephone Number	:	407-494-0644
Fax Number	:

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

Provider Enumeration Date	:	11/14/2023
Last Update Date	:	11/14/2023

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