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NPI Code Detail

MEDICARE: RAFAEL MIGUEL ROMERO PA-C

MEDICARE: RAFAEL MIGUEL ROMERO PA-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
1363A00000XPhysician AssistantPA9104848FL

General Provider Information

NPI Number : 1851544761
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL MIGUEL ROMERO PA-C
Provider Business Mailing Address
First Line : 697 MAITLAND AVE
Second Line : SUITE 1001
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-539-2111
Fax Number : 407-539-1211
Provider Business Practice Location Address
First Line : 697 MAITLAND AVE
Second Line : SUITE 1002
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-6821
Country : US
Telephone Number : 407-539-2111
Fax Number : 407-539-1211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2008
Last Update Date : 03/25/2015

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Directions to “ RAFAEL MIGUEL ROMERO PA-C” Practice Location

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