| Organization Name: | ROMEO A TAGALA MD PA |
| NPI Number: | 1477866804 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROMEO A TAGALA (OWNER/PHYSICIAN) |
| Mailing Address: | 3885 S Florida Ave Lakeland |
| State: | FL US |
| Postal Code: | 338131109 |
| Phone Number: | 8636446608 |
| Fax Number: | 8636440147 |
| NPI Enumeration Date: | 07/14/2010 |
| NPI Last Update Date: | 03/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME33472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |