MEDICARE: DR. ROMANE JOSEPH M.D.

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	208600000X	Surgery Physician	25MA08860100	NJ
2	208600000X	Surgery Physician	ME111651	FL

General Provider Information

NPI Number	:	1801197447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROMANE JOSEPH M.D.

Provider Business Mailing Address
First Line	:	17965 SW 1ST ST
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-3921
Country	:	US
Telephone Number	:	954-599-5459
Fax Number	:	786-401-6394

Provider Business Practice Location Address
First Line	:	9415 NE 6TH AVE
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2737
Country	:	US
Telephone Number	:	786-401-6455
Fax Number	:	786-401-6394

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

Provider Enumeration Date	:	11/13/2010
Last Update Date	:	01/06/2012

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