Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME105266 | FL |
N | 207NS0135X | Procedural Dermatology | ME105266 | FL |
NPI | 1205046984 |
---|---|
Provider Name | Dr. Yvonne Foy Romagosa |
First Address | Stuart, FL 34996-3308 |
Second Address | Stuart, FL 34996-3308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 13/08/2009 |