Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME37715 | FL |
N | 111NI0900X | Internist | ME37715 | FL |
Y | 207RP1001X | Pulmonary Disease | ME37715 | FL |
NPI | 1043224868 |
---|---|
Provider Name | Michael C Romano |
First Address | Stuart, FL 34994-4801 |
Second Address | Stuart, FL 34994-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D64673 | (02) | FL |