Romagnolo, Stephen Charles

Romagnolo, Stephen Charles is an individual health care provider with primary practice located at 6824 Suwannee Plaza Ln Pmb 173, Live Oak FL 32060-7495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Romagnolo, Stephen Charles can be contacted via phone (813) 416-7888.

Contact Information

Primary practice address
6824 Suwannee Plaza Ln Pmb 173 Live Oak FL 32060-7495
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME91099 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME91099 Florida

Profile Details

NPI number 1376647024
LBN Legal business name Romagnolo, Stephen Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Sep 5th, 2008 - about 16 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 1376647024 NPPES
Florida MEDICAID 271046300

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