Individual
MR. JOHN WAYNE ROYALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3402 N LECANTO HWY, STE C, BEVERLY HILLS, FL 34465-3570
(352) 563-5488
(352) 563-6328
Mailing address
3402 N LECANTO HWY, STE C, BEVERLY HILLS, FL 34465-3570
(352) 563-5488
(352) 563-6328
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
056237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372553700
—
FL
Enumeration date
06/10/2005
Last updated
02/06/2015
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