Individual
MR. BERNARDUS E RAY
Active
Individual
MR. BERNARDUS E RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFA PA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000230
VA
246ZX2200X
Orthopedic Assistant
1131
FL
363AS0400X
Surgical Physician Assistant
Primary
CN 2545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN2545
NAT C OF ASSIST SURGEONS
FL
Enumeration date
05/17/2007
Last updated
07/08/2024
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