Provider Demographics
NPI:1568452407
Name:DROZ, RONALD THOMAS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:THOMAS
Last Name:DROZ
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 TERRA CEIA BAY BLVD UNIT 805
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5905
Mailing Address - Country:US
Mailing Address - Phone:941-250-8571
Mailing Address - Fax:941-761-6811
Practice Address - Street 1:2320 TERRA CEIA BAY BLVD UNIT 805
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5905
Practice Address - Country:US
Practice Address - Phone:941-250-8571
Practice Address - Fax:941-761-6811
Is Sole Proprietor?:No
Enumeration Date:2005-10-23
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4376103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73689Medicare ID - Type Unspecified