Doctor Name: | MR. NICHOLAS FRANK ROMANO |
NPI Number: | 1912320219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | SLP |
License Number: | SA 10986 |
Business Practice Address: | 105 East Fruitland Street Fruitland Park, FL - 34731 |
Business Phone Number: | 4072183205 |
Business Fax Number: | |
Mailing Address: | 105 East Fruitland Street, FRUITLAND PARK |
State: | FL |
Postal Code: | 34731 |
Phone Number: | 4072183205 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2014 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 10986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |