Individual
DR. JOHN M BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 BAYOU BLVD, BLDG. 6, PENSACOLA, FL 32503-2698
(850) 477-9253
(850) 494-9843
Mailing address
4700 BAYOU BLVD, BLDG. 6, PENSACOLA, FL 32503-2698
(850) 477-9253
(850) 494-9843
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0038578
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0038578
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036017100
—
FL
01
—
17639Z
PTAN
FL
01
—
33884
GROUP PTAN
FL
Enumeration date
12/07/2005
Last updated
05/07/2015
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