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Individual

DR. RONALD LOUIS PEAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
5427 COMMERCIAL WAY, SPRING HILL, FL 34606-1110
(352) 596-9616
(352) 592-2394
Mailing address
PO BOX 24244, TAMPA, FL 33623-4244
(352) 596-9616
(352) 592-2393

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0003094
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00593250
HUMANA
FL
01
0064049
GHI
FL
01
00824900
MAGELLAN
FL
Enumeration date
01/22/2007
Last updated
07/08/2007
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