Provider Demographics
NPI:1760499172
Name:ROMANO, SALVATORE (DC)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:ROMANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301-A WEST PALMETTO PARK RD
Mailing Address - Street 2:STE #203C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433
Mailing Address - Country:US
Mailing Address - Phone:561-361-9103
Mailing Address - Fax:561-361-9714
Practice Address - Street 1:7301-A WEST PALMETTO PARK RD
Practice Address - Street 2:STE 203C
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433
Practice Address - Country:US
Practice Address - Phone:561-361-9103
Practice Address - Fax:561-361-9714
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006497111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U29488Medicare UPIN
FL22804Medicare ID - Type Unspecified