Individual
RAYCHEL LEE RAYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1747 BAPTIST CLAY DR STE 300, FLEMING ISLAND, FL 32003-8503
(904) 214-8100
(904) 214-8109
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 483-5826
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013457100
—
FL
01
—
HY691Z
MEDICARE PTAN
FL
Enumeration date
09/24/2014
Last updated
03/13/2019
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