MEDICARE: DR. DAVID L ROMANO D.C.

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	111N00000X	Chiropractor	CH7340	FL

General Provider Information

NPI Number	:	1720346703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L ROMANO D.C.

Provider Business Mailing Address
First Line	:	241 E PROSPECT RD
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-1441
Country	:	US
Telephone Number	:	954-727-0054
Fax Number	:	954-727-0145

Provider Business Practice Location Address
First Line	:	3088 GRIFFIN RD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-5666
Country	:	US
Telephone Number	:	954-963-2550
Fax Number	:	954-963-2562

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

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	04/27/2012

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