Organization
STEPHEN C. ROMAGNOLO, M.D., L.L.C.
Active
Organization
STEPHEN C. ROMAGNOLO, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CHARLES ROMAGNOLO M.D. (MANAGING MEMBER)
(813) 416-7888
Entity
Organization
Contact information
Practice address
1304 OHIO AVE S, LIVE OAK, FL 32064-4156
(386) 364-3376
Mailing address
PO BOX 6041, LIVE OAK, FL 32064-6041
(813) 416-7888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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