Provider Demographics
NPI:1609818277
Name:ROMULUS, CLAUDE BENJAMIN (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:BENJAMIN
Last Name:ROMULUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Street 2:SUITE: A
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:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91597207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU4203Medicare ID - Type Unspecified