Pelletier, Joseph Peter Ray

Pelletier, Joseph Peter Ray is an individual health care provider with primary practice located at 1600 Sw Archer Rd # 100275 , Gainesville FL 32610-5300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pelletier, Joseph Peter Ray can be contacted via phone (352) 273-8495.

Contact Information

Primary practice address
1600 Sw Archer Rd # 100275 Gainesville FL 32610-5300
Phone: (352) 273-8495
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME121279 Florida

Profile Details

NPI number 1649258930
LBN Legal business name Pelletier, Joseph Peter Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 21st, 2022 - about 2 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 1649258930 NPPES
Florida MEDICAID 013029000
Florida MEDICAID VAD000

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