Individual
MR. WALTER RAYMOND RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
2727 MARTIN LUTHER KING BLVD, SUITE 690, TAMPA, FL 33607
(813) 540-0100
(813) 248-0629
Mailing address
5311 E FLATCHER AVENUE, TAMPA, FL 33617
(813) 985-5000
(813) 985-4499
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
ORT140
FL
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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