Romero, Eduardo Gustavo

Romero, Eduardo Gustavo is an individual health care provider with primary practice located at 1304 Ohio Ave S , Live Oak FL 32064-4156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Romero, Eduardo Gustavo can be contacted via phone (386) 364-1211.

Contact Information

Primary practice address
1304 Ohio Ave S Live Oak FL 32064-4156
Phone: (386) 364-1211
Fax: (386) 208-1639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME032987 Florida

Profile Details

NPI number 1568405728
LBN Legal business name Romero, Eduardo Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568405728 NPPES
Florida MEDICAID 064441201

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