Healthcare Provider Details

I. General information

NPI: 1295841609
Provider Name (Legal Business Name): ROY WAYNE FINLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/02/2020
Certification Date: 09/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2812 54TH AVE S
ST PETERSBURG FL
33712-4610
US

IV. Provider business mailing address

10051 5TH ST N STE 200
ST PETERSBURG FL
33702-2211
US

V. Phone/Fax

Practice location:
  • Phone: 727-867-8641
  • Fax: 727-867-6795
Mailing address:
  • Phone: 727-824-0780
  • Fax: 727-568-6011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0051802
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: