Organization
PASCO REGIONAL PHYSICIAN SERVICES
Active
Organization
PASCO REGIONAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK ROMOLO (MANAGER)
(772) 538-4047
Entity
Organization
Contact information
Practice address
13100 FORT KING RD, DADE CITY, FL 33525-5294
(863) 402-0064
Mailing address
25 RYANT BLVD, SEBRING, FL 33870-8075
(863) 402-0064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000HX
BCBS OF FL
FL
Enumeration date
12/10/2009
Last updated
12/10/2009
Update your record
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