Provider Demographics
NPI:1639118144
Name:DEAL, ROY WHIT (MD)
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:WHIT
Last Name:DEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2003 WILSON AVE
Mailing Address - Street 2:FLORIDA THERAPY SERVICES DR ROY DEAL
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4532
Mailing Address - Country:US
Mailing Address - Phone:850-784-0187
Mailing Address - Fax:850-784-0344
Practice Address - Street 1:2003 WILSON AVE
Practice Address - Street 2:FLORIDA THERAPY SERVICES DR ROY DEAL
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4532
Practice Address - Country:US
Practice Address - Phone:850-784-0187
Practice Address - Fax:850-784-0344
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME847742084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2747120Medicaid
MS00512Medicare ID - Type Unspecified