Organization
ROMULO CLAVELO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMULO CLAVELO M.D. (PRESIDENT)
(786) 543-5581
Entity
Organization
Contact information
Practice address
78 SW 13TH AVE, SUITE 201, MIAMI, FL 33135-2479
(305) 631-0470
Mailing address
PO BOX 402054, MIAMI BEACH, FL 33140-0054
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME90231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266250700
—
FL
Enumeration date
08/28/2009
Last updated
07/06/2010
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