Provider Demographics
NPI:1922086495
Name:CAVALCANT, ROY DENNIS (MD)
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:DENNIS
Last Name:CAVALCANT
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 1:6801 US HIGHWAY 27 N
Mailing Address - Street 2:SUITE D1
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-1046
Mailing Address - Country:US
Mailing Address - Phone:863-471-1888
Mailing Address - Fax:863-471-0329
Practice Address - Street 1:6801 US HIGHWAY 27 N
Practice Address - Street 2:SUITE D1
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1046
Practice Address - Country:US
Practice Address - Phone:863-471-1888
Practice Address - Fax:863-471-0329
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME51691207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD61322Medicare UPIN