Most Relevant Information
Provider Data
| NPI Number: | 1003499864 |
| Provider Name: | LANIEL ROMEUS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2021 |
| Last Updated: | 10/24/2023 |
Provider Practice Location
1611 NW 12TH AVE
MIAMI
FL
331361005
Practice Location Phone/Fax
| Phone: | 3055857000 |
| Fax: |
Provider Mailing Location
1611 NW 12TH AVE # WING279
MIAMI
FL
331361005
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |