Individual
DOROTHY JOAN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2140 E EDGEWOOD DR, LAKELAND, FL 33803-3604
(863) 669-1212
(863) 666-6089
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(863) 669-1212
(863) 666-6089
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063449200
—
FL
Enumeration date
02/14/2006
Last updated
10/18/2021
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