Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME100776 | FL |
N | 207ND0900X | Dermatopathologist | MFC1468 | FL |
NPI | 1013945724 |
---|---|
Provider Name | Dr. Paolo Romanelli |
First Address | Miami, FL 33136-1002 |
Second Address | Miami, FL 33136-1002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13345 | (02) | FL |
2638282-00 | (05) | FL |
H62768 | (02) | FL |