Organization
RONALD L. PEAL, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L PEAL PH.D. (DIRECTOR)
(352) 596-9616
Entity
Organization
Contact information
Practice address
5427 COMMERCIAL WAY, SPRING HILL, FL 34606
(352) 596-9616
(352) 592-2394
Mailing address
PO BOX 24211, TAMPA, FL 33634-4211
(353) 596-9616
(352) 592-2394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0003094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00593250
HUMANA
FL
01
—
0064049
GHI
FL
01
—
00824900
MAGELLAN
FL
05
—
210592354174
—
FL
Enumeration date
05/02/2007
Last updated
08/22/2020
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