Individual
DR. ROBERT EDWARD RAYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4048 EVANS AVE STE 209, FORT MYERS, FL 33901-9385
(239) 278-9983
(239) 278-9985
Mailing address
4048 EVANS AVE STE 209, FT MYERS, FL 33901-9385
(239) 278-9983
(239) 278-9985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME34459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371731300
—
FL
Enumeration date
11/16/2006
Last updated
08/04/2015
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