Individual
ROMEO ADANO TAGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3885 S FLORIDA AVE, LAKELAND, FL 33813-1109
(863) 644-6608
(863) 644-0147
Mailing address
3885 S FLORIDA AVE, LAKELAND, FL 33813-1109
(863) 644-6608
(863) 644-0147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME33472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066847800
—
FL
01
—
53592
BC FL
FL
01
—
P00870043
RAILROAD MC
—
Enumeration date
10/25/2005
Last updated
03/06/2014
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