Doctor Name: | MR. CRAIG JOSEPH ROMERO |
NPI Number: | 1013919513 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA9101323 |
Business Practice Address: | 1000 36th St Vero Beach, FL - 329604862 |
Business Phone Number: | 7725674311 |
Business Fax Number: | 7725634706 |
Mailing Address: | 5160 Compass Pointe Cir, VERO BEACH |
State: | FL |
Postal Code: | 329662118 |
Phone Number: | 7725629116 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2005 |
NPI Last Update Date: | 09/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9101323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |