Individual
PROF. RICHARD ANTHONY RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPS, CCT, CCP
Contact information
Practice address
5302 OUTLOOK DR, MELBOURNE, FL 32940-2345
(321) 480-3008
Mailing address
5302 OUTLOOK DR, MELBOURNE, FL 32940-2345
(321) 480-3008
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
1744R1102X
Research Study Specialist
Primary
—
—
242T00000X
Perfusionist
—
FL
246QH0401X
Hemapheresis Practitioner
—
FL
246RP1900X
Phlebotomy Technician
—
—
246XC2901X
Cardiovascular Invasive Specialist/Technologist
—
FL
Other
Enumeration date
06/03/2007
Last updated
09/11/2025
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