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NPI Code Detail

MEDICARE: DOROTHY JOAN RAY M.D.

MEDICARE: DOROTHY JOAN RAY M.D.
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 PhysicianME57795FL

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 : 1558335760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY JOAN RAY M.D.
Provider Business Mailing Address
First Line : 900 S PINE ISLAND RD STE 800
Second Line :
City : PLANTATION
State : FL
Zip : 33324-3923
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 10/18/2021

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Directions to “ DOROTHY JOAN RAY M.D.” Practice Location

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