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NPI Code Detail

MEDICARE: JEFFREY EDWARD ROYER COTA/L

MEDICARE:   JEFFREY EDWARD ROYER  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOTA17268FL

General Provider Information

NPI Number : 1023645371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY EDWARD ROYER COTA/L
Provider Business Mailing Address
First Line : 10614 DEMILO PL APT 105
Second Line :
City : ORLANDO
State : FL
Zip : 32836-7622
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 STATE ROAD 436
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-2244
Country : US
Telephone Number : 407-234-1026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 03/26/2020

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Directions to “ JEFFREY EDWARD ROYER COTA/L” Practice Location

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