Tagala, Romeo Adano
Tagala, Romeo Adano is an sole proprietor health care provider with primary practice located at 3885 S Florida Ave , Lakeland FL 33813-1109. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Tagala, Romeo Adano can be contacted via phone (863) 644-6608.Contact Information
Primary practice address
3885 S Florida Ave
Lakeland FL 33813-1109
Phone: (863) 644-6608
Fax: (863) 644-0147
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME33472 | Florida |
Profile Details
NPI number | 1992795587 |
---|---|
LBN Legal business name | Tagala, Romeo Adano |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2005 |
Last updated | Mar 6th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992795587 | NPPES |
Florida | Other | 53592 | BC FL |
Florida | MEDICAID | 066847800 | BC FL |
Florida | Other | P00870043 | BC FL |
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