Individual
MR. ROY ELIJAH COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11201 SUMMER STAR DR, RIVERVIEW, FL 33579-2345
(813) 741-9062
(813) 672-6527
Mailing address
11201 SUMMER STAR DR, RIVERVIEW, FL 33579-2345
(813) 741-9062
(813) 672-6527
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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