Organization
ENRIQUE ROMEU D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE ROMEU D.M.D. (PRESIDENT-CEO)
(904) 262-9464
Entity
Organization
Contact information
Practice address
12276 SAN JOSE BLVD, SUITE 604, JACKSONVILLE, FL 32223-8628
(904) 262-9464
(904) 262-9414
Mailing address
12276 SAN JOSE BLVD, SUITE 604, JACKSONVILLE, FL 32223-8628
(904) 262-9464
(904) 262-9414
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 9709
FL
Other
Enumeration date
05/22/2007
Last updated
05/07/2008
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