Blair-Britt, Loray Antoinette

Blair-Britt, Loray Antoinette is an individual health care provider with primary practice located at 1410 Lpga Blvd, Ste 136 , Daytona Beach FL 32117-5146. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Blair-Britt, Loray Antoinette can be contacted via phone (386) 274-4750.

Contact Information

Primary practice address
1410 Lpga Blvd, Ste 136 Daytona Beach FL 32117-5146
Phone: (386) 274-4750
Fax: (386) 274-4757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME60233 Florida

Profile Details

NPI number 1932191400
LBN Legal business name Blair-Britt, Loray Antoinette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jan 28th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932191400 NPPES
Florida MEDICAID 058163100

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