Provider Demographics
NPI:1013919513
Name:ROMERO, CRAIG JOSEPH (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:JOSEPH
Last Name:ROMERO
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5160 COMPASS POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-2118
Mailing Address - Country:US
Mailing Address - Phone:772-562-9116
Mailing Address - Fax:
Practice Address - Street 1:1000 36TH ST
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4862
Practice Address - Country:US
Practice Address - Phone:772-567-4311
Practice Address - Fax:772-563-4706
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2009-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9101323363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical