Provider Demographics
NPI:1659103620
Name:ROMEUS, JUDELINE MARIE (FNP)
Entity type:Individual
Prefix:
First Name:JUDELINE
Middle Name:MARIE
Last Name:ROMEUS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NE 212TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1309
Mailing Address - Country:US
Mailing Address - Phone:305-788-4628
Mailing Address - Fax:
Practice Address - Street 1:1000 NE 212TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1309
Practice Address - Country:US
Practice Address - Phone:305-788-4628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11034755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily