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NPI Code Detail

MEDICARE: RAYPAR INC

MEDICARE: RAYPAR INC
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
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053728881
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAYPAR INC
Provider Business Mailing Address
First Line : 2140 E EDGEWOOD DR
Second Line :
City : LAKELAND
State : FL
Zip : 33803-3604
Country : US
Telephone Number : 863-669-1212
Fax Number : 863-666-6089
Provider Business Practice Location Address
First Line : 2140 E EDGEWOOD DR
Second Line :
City : LAKELAND
State : FL
Zip : 33803-3604
Country : US
Telephone Number : 863-669-1212
Fax Number : 863-666-6089
Authorized Official
Title or Position : MANAGING PARTNER
Name : DOROTHY J RAY
Credential : M.D.
Telephone Number : 863-669-1212
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “RAYPAR INC ” Practice Location

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