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NPI Code Detail

MEDICARE: DR. CARYN L BRAY MD

MEDICARE: DR. CARYN L BRAY MD
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
1207V00000XObstetrics & Gynecology PhysicianME0063045FL

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 : 1962498923
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARYN L BRAY MD
Provider Business Mailing Address
First Line : PO BOX 748817
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8817
Country : US
Telephone Number : 813-286-0033
Fax Number : 813-282-1806
Provider Business Practice Location Address
First Line : 3450 E FLETCHER AVE STE 110
Second Line :
City : TAMPA
State : FL
Zip : 33613-4603
Country : US
Telephone Number : 813-972-4488
Fax Number : 813-972-3996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 06/23/2023

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