Romeo a Tagala MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME33472 Issued in FL

Legal business name

ROMEO A TAGALA MD PA

Practice address

3885 S Florida Ave
Lakeland, FL 33813-1109

Phone

(863) 644-6608

Fax

(863) 644-0147

NPI assigned

Jul 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Romeo A Tagala, M.D.

Title

Owner/Physician

Phone

(863) 644-6608

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1477866804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131109",
            "telephone_number": "863-644-6608",
            "fax_number": "863-644-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131109",
            "telephone_number": "863-644-6608",
            "fax_number": "863-644-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO A TAGALA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "TAGALA",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "863-644-6608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME33472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC",
            "identifier": "DQ7519",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066847800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FL",
            "identifier": "53592",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis A. Rolon Ortega Sr., CRNA
• Sophia Rolph, PHARM.D.
• Lisa Roma
• Evelyn Roman, CRNA
• Anna Marie Rombola, OTR/L
• Andrew Phillip Romeo, PT, DPT, CSCS
• Carlos M Romero, M.D.
• Yunaisy Romero
• Jose Antonio Romeu Torres, MD
• Paul M Romine, DC

• General Practice Physician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.