Organization
EDUARDO G ROMERO MD PA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNDI B ROMERO R.N. (VICE PRESIDENT)
(386) 364-1211
Entity
Organization
Contact information
Practice address
1304 OHIO AVE S, LIVE OAK, FL 32064-4156
(386) 364-1211
Mailing address
1304 S. OHIO AVENUE, LIVE OAK, FL 32064
(386) 364-1211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME32987
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15532
BCBS
FL
01
—
DP2167
RR MEDICARE
FL
Enumeration date
02/11/2009
Last updated
12/30/2011
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