Provider Demographics
NPI:1124902564
Name:PEREZ ROMERO, DARLIN
Entity type:Individual
Prefix:
First Name:DARLIN
Middle Name:
Last Name:PEREZ ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4733 W WATERS AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1452
Mailing Address - Country:US
Mailing Address - Phone:540-246-3457
Mailing Address - Fax:
Practice Address - Street 1:4733 W WATERS AVE APT 314
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1452
Practice Address - Country:US
Practice Address - Phone:540-246-3457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24-383618106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician