Healthcare Provider Details

I. General information

NPI: 1144253428
Provider Name (Legal Business Name): ROYCE ELLEN CLIFFORD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 HULSE ROAD C/O NAVAL AEROSPACE MEDICINE INSTITUTE
PENSACOLA FL
32508-1092
US

IV. Provider business mailing address

132 N EL CAMINO REAL SUITE #294
ENCINITAS CA
92024-2801
US

V. Phone/Fax

Practice location:
  • Phone: 850-452-9425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG035113
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberG035113
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: