Individual
RAYA BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 RINEHART RD STE 100, LAKE MARY, FL 32746-4885
(407) 320-8100
Mailing address
755 RINEHART RD STE 100, LAKE MARY, FL 32746-4885
(407) 320-8100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/10/2026
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