Provider Demographics
NPI:1346568912
Name:CLAUDE B ROMULUS MD, MPH, PA
Entity Type:Organization
Organization Name:CLAUDE B ROMULUS MD, MPH, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ROMULUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:954-534-9981
Mailing Address - Street 1:6320 MIRAMAR PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3999
Mailing Address - Country:US
Mailing Address - Phone:954-534-9981
Mailing Address - Fax:954-534-9992
Practice Address - Street 1:6320 MIRAMAR PKWY STE A
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3999
Practice Address - Country:US
Practice Address - Phone:954-534-9981
Practice Address - Fax:954-534-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91597261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000232100Medicaid
FLU4203Medicare UPIN