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Individual

ALFRED THOMAS ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
6710 OLD WOLF BAY RD, PALATKA, FL 32177-6830
(386) 326-1590
(386) 326-1592
Mailing address
5000 US HIGHWAY 17, SUITE 18 #288, ORANGE PARK, FL 32003-8231
(386) 326-1590
(386) 326-1592

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME60213
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23880
BCBS OF FLORIDA PROVIDER
FL
Enumeration date
10/26/2006
Last updated
07/09/2007
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