Individual
DOROTHY MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO, ABO, NCLE
Contact information
Practice address
11900 ATLANTIC BLVD, JACKSONVILLE, FL 32225-2920
(904) 641-7178
(904) 641-7166
Mailing address
11900 ATLANTIC BLVD, JACKSONVILLE, FL 32225-2920
(904) 641-7178
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7029
FL
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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