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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
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