Dana Q Royce Phd Pa | |
7061 S Tamiami Trl Suite 207 Sarasota FL 34231-5559 | |
(941) 922-6203 | |
Not Available |
Full Name | Dana Q Royce Phd Pa |
---|---|
Speciality | Psychologist |
Location | 7061 S Tamiami Trl, Sarasota, Florida |
Authorized Official Name and Position | Dana Quist Royce (OWNER) |
Authorized Official Contact | 9419226203 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dana Q Royce Phd Pa 7061 S Tamiami Trl Suite 207 Sarasota FL 34231-5559 Ph: (941) 922-6203 | Dana Q Royce Phd Pa 7061 S Tamiami Trl Suite 207 Sarasota FL 34231-5559 Ph: (941) 922-6203 |
NPI Number | 1639383250 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 07/14/2015 |
Medicare PECOS PAC ID | 3971529066 |
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Medicare Enrollment ID | O20051018000871 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639383250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY7094 (Florida) | Primary |
Provider Name | Dana Q Royce |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1437363041 PECOS PAC ID: 3577599752 Enrollment ID: I20050711000191 |
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