Healthcare Provider Details

I. General information

NPI: 1699697151
Provider Name (Legal Business Name): WILLIAM EDWARD ROYSTER III DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 LAKE PIEDMONT CIR
APOPKA FL
32703-7454
US

IV. Provider business mailing address

1222 LAKE PIEDMONT CIR
APOPKA FL
32703-7454
US

V. Phone/Fax

Practice location:
  • Phone: 410-550-0100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048785
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: