Individual
JACQUELINE FRANNIE ROYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
357 6TH AVE. W., BRADENTON, FL 34205-8820
(941) 358-3223
(941) 358-8422
Mailing address
357 6TH AVE. W., BRADENTON, FL 34205-8820
(941) 358-3223
(941) 358-8422
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS8381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01959
FL BCBS
FL
01
—
01959Z
PTAN
FL
01
—
1700964798
NPI
FL
01
—
P00126504
RAILROAD MEDICARE
FL
Enumeration date
11/01/2006
Last updated
02/02/2024
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