Individual
MR. BELTON CRAIG RAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2998
Mailing address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2998
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME0013757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16709
BCBS
FL
01
—
203470
HEALTHEASE
FL
01
—
2835002-001
CIGNA
FL
01
—
4047756
AETNA
FL
Enumeration date
08/22/2005
Last updated
07/08/2007
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