Organization
RAYPAR INC
Active
Other names
PEDIATRIC ASSOCIATES OF LAKELAND
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY J RAY M.D. (MANAGING PARTNER)
(863) 669-1212
Entity
Organization
Contact information
Practice address
2140 E EDGEWOOD DR, LAKELAND, FL 33803-3604
(863) 669-1212
(863) 666-6089
Mailing address
2140 E EDGEWOOD DR, LAKELAND, FL 33803-3604
(863) 669-1212
(863) 666-6089
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002983300
—
FL
Enumeration date
07/14/2014
Last updated
07/14/2014
Update your record
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