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Individual

MR. ROY RAY HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1875 TAYLOR RD, PUNTA GORDA, FL 33950-6248
(941) 505-2358
Mailing address
1875 TAYLOR RD, PUNTA GORDA, FL 33950-6248
(941) 505-2358

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
6906607
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6906607
AHCA LICENSE NUMBER
FL
Enumeration date
08/13/2013
Last updated
08/13/2013
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