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GARY RAY PROCTOR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10199 SOUTHSIDE BLVD, BLD 100 SUITE 300, JACKSONVILLE, FL 32256-0758
(800) 700-8646
Mailing address
140 CROSSTIDE CIR, PONTE VEDRA BEACH, FL 32082-4028
(904) 285-4715

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
ME 71703
FL
2084P0800X
Psychiatry Physician
ME 71703
FL

Other

Enumeration date
07/01/2005
Last updated
09/11/2025
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