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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1992795587 NPPES
Florida Other 53592 BC FL
Florida MEDICAID 066847800 BC FL
Florida Other P00870043 BC FL

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