DR. ROYCE JALAZO, P.A.
Social Work at Sunrise Blvd, Fort Lauderdale, FL

License number
Florida PY7671
Category
Social Work
Type
Clinical
Owner
Name: DR. ROYCE N JALAZO PSY.D.
Title: PRESIDENT
Phone: (954) 232-7092
Address
Address
1975 E Sunrise Blvd SUITE 532, Fort Lauderdale, FL 33304
National Provider ID: 1639496664
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. ROYCE JALAZO, PA

Ft Lauderdale, FL  -  Boca Raton, FL

Registration:
Jun 12, 2009
Addresses:
1975 E Sunrise Blvd SUITE 532, Ft Lauderdale, FL 33304 (Physical)
299 Camino Gdn Blvd, Boca Raton, FL 33432
State ID:
P09000051357
Business type:
Florida Profit Corporation
President, Secretary:
Royce N Jalazo (President, Secretary), 1975 E Sunrise Bv SUITE 532, Ft Lauderdale, FL 33304 (Physical)
Agent:
Royce Jalazo,1975 E Sunrise Blvd SUITE 532, Ft Lauderdale, FL 33304 (Physical)
EIN:
27-0308267

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