Provider Demographics
NPI:1992978373
Name:ROMEL FIGUEREDO MD PA
Entity type:Organization
Organization Name:ROMEL FIGUEREDO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-984-5572
Mailing Address - Street 1:12854 SW 51ST ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5806
Mailing Address - Country:US
Mailing Address - Phone:305-829-7864
Mailing Address - Fax:305-829-7864
Practice Address - Street 1:12854 SW 51ST ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-5806
Practice Address - Country:US
Practice Address - Phone:305-829-7864
Practice Address - Fax:305-829-7864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96475207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI70475Medicare UPIN