Individual
MARIO ENRIQUE MAYES-ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950
(727) 507-2519
Mailing address
1700 S 23RD ST, FORT PIERCE, FL 34950-4803
(727) 507-2519
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME136525
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
09/21/2018
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