MEDICARE: MRS. NATALIA VERONICA ROMAGNOLI

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	225700000X	Massage Therapist	MA56133	FL

General Provider Information

NPI Number	:	1629304084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIA VERONICA ROMAGNOLI

Provider Business Mailing Address
First Line	:	19255 NE 2 AVE
Second Line	:	#2203
City	:	MIAMI
State	:	FL
Zip	:	33179
Country	:	US
Telephone Number	:	786-326-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	19255 NE 2 AVE
Second Line	:	#2203
City	:	MIAMI
State	:	FL
Zip	:	33179
Country	:	US
Telephone Number	:	786-326-3261
Fax Number	:

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

Provider Enumeration Date	:	10/20/2009
Last Update Date	:	10/20/2009

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