Organization
RAY C WUNDERLICH JR M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN SWEENEY (BILLING COMPANY OWNER)
(727) 391-1257
Entity
Organization
Contact information
Practice address
8821 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33702-3443
(727) 822-3612
(727) 578-1370
Mailing address
8821 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33702-3443
(727) 822-3612
(727) 578-1370
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
08/22/2020
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