Individual
DR. EDUARDO GUSTAVO ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1304 OHIO AVE S, LIVE OAK, FL 32064-4156
(386) 364-1211
(386) 208-1639
Mailing address
1304 OHIO AVE S, LIVE OAK, FL 32064-4156
(386) 364-1211
(386) 208-1639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME032987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064441201
—
FL
Enumeration date
06/14/2006
Last updated
07/10/2012
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