Provider Demographics
NPI:1336807866
Name:ROY, SCARLETT VICTORIA
Entity Type:Individual
Prefix:
First Name:SCARLETT
Middle Name:VICTORIA
Last Name:ROY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2677 OLD BAINBRIDGE RD APT 223
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3588
Mailing Address - Country:US
Mailing Address - Phone:571-484-8937
Mailing Address - Fax:
Practice Address - Street 1:2677 OLD BAINBRIDGE RD APT 223
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3588
Practice Address - Country:US
Practice Address - Phone:571-484-8937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program