Provider Demographics
NPI:1669578795
Name:ROY, ROBERT ARTHUR III
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ARTHUR
Last Name:ROY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 LUCERNE TER
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1012
Mailing Address - Country:US
Mailing Address - Phone:407-843-9200
Mailing Address - Fax:407-843-9666
Practice Address - Street 1:915 LUCERNE TER
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1012
Practice Address - Country:US
Practice Address - Phone:407-843-9200
Practice Address - Fax:407-843-9666
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist