Stacey Bispham Royce in Bradenton - Physician Assistant
Stacey Bispham Royce - NPI 1205027620
Stacey Bispham Royce is a Physician Assistant in Bradenton, Florida. Stacey Bispham Royce practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey Bispham Royce is 1205027620. The last update date is 2019-09-10.
Stacey Bispham Royce's current location address is 6001 21st Ave W, Bradenton, Florida. You can contact this provider via phone number 9417614448 and fax number 9417610235. The mailing address for Stacey Bispham Royce is 6001 21st Ave W, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Bispham Royce |
|---|---|
| Address | 6001 21st Ave W, Bradenton, Florida |
| Phone Number | 9417614448 |
| Fax Number | 9417610235 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1205027620 |
|---|---|
| Provider Enumeration Date | 2007-08-09 |
| Last Updated Date | 2019-09-10 |
Provider Mailing Address Detail
| Address | 6001 21st Ave W |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342097847 |
| Phone Number | 9417614448 |
| Fax Number | 9417610235 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104208 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA9104208 | FL | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Stacey Bispham Royce's unique identification number?
The Stacey Bispham Royce has been assigned the NPI (National Provider Identifier) Number 1205027620 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Stacey Bispham Royce's physical address?
The Stacey Bispham Royce is physically located at 6001 21St Ave W, in the city of Bradenton, FL, with the postal code 342097847.
What is the area of specialization for Stacey Bispham Royce, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey Bispham Royce is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Stacey Bispham Royce receive the assignment of its 1205027620 from the Centers for Medicare & Medicaid Services?
The Stacey Bispham Royce was issued its 1205027620 by the Centers for Medicare & Medicaid Services on 2007-08-09.
As of what date was the information regarding Stacey Bispham Royce, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stacey Bispham Royce, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-09-10.