Provider Demographics
NPI:1679553127
Name:RICE, ROY RICHARD JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:RICHARD
Last Name:RICE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8610 DOLCE VITA LN
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-1938
Mailing Address - Country:US
Mailing Address - Phone:813-523-0664
Mailing Address - Fax:813-926-1116
Practice Address - Street 1:8610 DOLCE VITA LN
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-1938
Practice Address - Country:US
Practice Address - Phone:813-523-0664
Practice Address - Fax:813-926-1116
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010515452085B0100X
FLME974352085B0100X
MDD00591832085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging