Organization
NITE OWL PEDIATRICS, INC.
Active
Parent organization
RAYP
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAYP
Authorized official
DR. DOROTHY RAY (MD)
(863) 644-7337
Entity
Organization
Contact information
Practice address
3242 S FLORIDA AVE, LAKELAND, FL 33803-4574
(863) 644-7337
Mailing address
3242 S FLORIDA AVE, LAKELAND, FL 33803-4574
(863) 644-7337
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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