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NPI Code Detail

MEDICARE: JOSETTE ROMAIN M.D.

MEDICARE:   JOSETTE  ROMAIN  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
1207Q00000XFamily Medicine PhysicianME60943FL

Other Identifiers

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

General Provider Information

NPI Number : 1851408348
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSETTE ROMAIN M.D.
Provider Business Mailing Address
First Line : 2725 REBECCA LN
Second Line : SUITE 107
City : ORANGE CITY
State : FL
Zip : 32763-8350
Country : US
Telephone Number : 386-775-0736
Fax Number : 386-775-0738
Provider Business Practice Location Address
First Line : 2725 REBECCA LN
Second Line : SUITE 107
City : ORANGE CITY
State : FL
Zip : 32763-8350
Country : US
Telephone Number : 386-775-0736
Fax Number : 386-775-0738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2006
Last Update Date : 07/08/2007

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Directions to “ JOSETTE ROMAIN M.D.” Practice Location

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