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Organization
RAYPAR INC
Active
Organization
RAYPAR INC
Active
Other names
Trinity Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY J RAY MD (PRESIDENT)
(863) 683-4661
Entity
Organization
Contact information
Practice address
550 POPE AVE NW, WINTER HAVEN, FL 33881-4679
(863) 299-2636
(863) 662-5288
Mailing address
550 POPE AVE NW, WINTER HAVEN, FL 33881-4679
(863) 299-2636
(863) 662-5288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253818100
MEDICAID
FL
05
—
660109000
—
FL
01
—
66010901
MEDICAID
FL
Enumeration date
07/09/2006
Last updated
01/03/2019
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