Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 0006566 | FL |
NPI | 1447365192 |
---|---|
Provider Name | Dr. Edgar Phillip Romero |
First Address | Miami, FL 33145-2544 |
Second Address | Miami, FL 33145-2544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U40944 | (02) | FL |