MEDICARE: ROMEO K FERNANDEZ MD

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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	26151	AL
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	ME95928	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	275996900	OTHER	FL	FL NETPASS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	303912	OTHER	FL	AVMED
6	56286	OTHER	FL	BCBS
7	275996900	OTHER	FL	PHYTRUST OF FLORIDA PSN
8	275996900	OTHER	FL	PEDIATRICS ASSOCIATES PSN

General Provider Information

NPI Number	:	1952418626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROMEO K FERNANDEZ MD

Provider Business Mailing Address
First Line	:	7000 W PALMETTO PARK RD STE 307
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	561-288-5990
Fax Number	:	954-391-5008

Provider Business Practice Location Address
First Line	:	7000 W PALMETTO PARK RD STE 307
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	561-288-5990
Fax Number	:	954-391-5008

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	03/29/2021

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