Provider Demographics
NPI:1891827853
Name:ROMERO, MELISSA ANNETTE (AP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANNETTE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2733 AMBERGATE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2701
Mailing Address - Country:US
Mailing Address - Phone:407-758-1078
Mailing Address - Fax:
Practice Address - Street 1:1298 MINNESOTA AVE STE A
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-7104
Practice Address - Country:US
Practice Address - Phone:407-599-2287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2309171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist