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Individual

MR. ROMEL TAVARES DEMORAES

Active
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Individual

MR. ROMEL TAVARES DEMORAES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME30576
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0582740001
CIGNA
01
4409393
AETNA
FL
Enumeration date
08/30/2005
Last updated
12/14/2009
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