| Eduardo G Romero Md Pa Inc | |
|
1304 Ohio Ave S Live Oak FL 32064-4156 | |
| (386) 364-1211 | |
| Not Available |
| Full Name | Eduardo G Romero Md Pa Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1304 Ohio Ave S, Live Oak, Florida |
| Authorized Official Name and Position | Cyndi B Romero (VICE PRESIDENT) |
| Authorized Official Contact | 3863641211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo G Romero Md Pa Inc 1304 S. Ohio Avenue Live Oak FL 32064 Ph: (386) 364-1211 | Eduardo G Romero Md Pa Inc 1304 Ohio Ave S Live Oak FL 32064-4156 Ph: (386) 364-1211 |
| NPI Number | 1598904732 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 12/30/2011 |
| Medicare PECOS PAC ID | 2264598846 |
|---|---|
| Medicare Enrollment ID | O20090305000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598904732 | NPI | - | NPPES |
| 15532 | Other | FL | BCBS |
| DP2167 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME32987 (Florida) | Primary |
| Provider Name | Eduardo G Romero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568405728 PECOS PAC ID: 9739133406 Enrollment ID: I20050304000713 |
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