Organization
ROYALTY BEAUTY & RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRISCHADAY DEMETRIUS APRN (OWNER)
(407) 791-8732
Entity
Organization
Contact information
Practice address
4701 OLD CANOE CREEK ROAD, 702019, SAINT CLOUD, FL 34769-8211
(407) 791-8732
Mailing address
4701 OLD CANOE CREEK RD, SAINT CLOUD, FL 34769-1400
(407) 791-8732
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
08/29/2022
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