MEDICARE: ROMEO K. FERNANDEZ, M.D., P.A.

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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	ME 94928	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578727053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROMEO K. FERNANDEZ, M.D., P.A.

Provider Business Mailing Address
First Line	:	7000 W PALMETTO PARK RD STE 307
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	561-288-5990
Fax Number	:	954-391-5008

Provider Business Practice Location Address
First Line	:	7000 W PALMETTO PARK RD STE 307
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	561-288-5990
Fax Number	:	954-391-5008

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROMEO K FERNANDEZ
Credential	:	MD
Telephone Number	:	561-288-5990

Provider Enumeration Date	:	07/15/2008
Last Update Date	:	04/07/2021

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