Individual
STANLEY EUGENE TRAYLOR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207-8207
(904) 376-3800
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS19109
FL
Other
Enumeration date
04/20/2018
Last updated
08/29/2022
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