Individual
RENATO ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11265 ALUMNI WAY, JACKSONVILLE, FL 32246-7630
(904) 743-2968
Mailing address
5378 OAK BAY DR N, JACKSONVILLE, JACKSONVILLE, FL 32277-1011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0022945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046659000
—
FL
Enumeration date
01/08/2007
Last updated
02/20/2019
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