Organization
SCOTT L RAY DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L RAY DO (OWNER)
(727) 797-3155
Entity
Organization
Contact information
Practice address
2350 SUNSET POINT RD, SUITE C, CLEARWATER, FL 33765-1443
(727) 797-3155
(727) 797-4301
Mailing address
2350 SUNSET POINT RD, SUITE C, CLEARWATER, FL 33765-1443
(727) 797-3155
(727) 797-4301
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
OSOOO4600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069515700
—
FL
Enumeration date
08/10/2006
Last updated
11/29/2011
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