Individual
MR. NATANAEL RAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
72 S MAPLE ST, FELLSMERE, FL 32948-7104
(772) 453-4756
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9419622
FL
Other
Enumeration date
01/17/2021
Last updated
01/17/2021
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