Provider Demographics
NPI:1295841609
Name:FINLEY, ROY WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:WAYNE
Last Name:FINLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10051 5TH ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2211
Mailing Address - Country:US
Mailing Address - Phone:727-824-0780
Mailing Address - Fax:727-568-6011
Practice Address - Street 1:2812 54TH AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-4610
Practice Address - Country:US
Practice Address - Phone:727-867-8641
Practice Address - Fax:727-867-6795
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0051802207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010241700Medicaid
FL212087OtherAVMED
FL080128687OtherRAILROAD MEDICARE
FL10618601OtherCITRUS
FL2539579012OtherCIGNA
FL225520OtherWELLCARE
FL0105766OtherUNITED
FL2454918OtherAETNA
FL10618601OtherCITRUS
FL2454918OtherAETNA
FL07346WMedicare ID - Type Unspecified