Proctor, Gary Ray
Proctor, Gary Ray is an individual health care provider with primary practice located at 10199 Southside Blvd Bld 100 Suite 300, Jacksonville FL 32256-0758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Proctor, Gary Ray can be contacted via phone (800) 700-8646.Contact Information
Primary practice address
10199 Southside Blvd Bld 100 Suite 300
Jacksonville FL 32256-0758
Phone: (800) 700-8646
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | ME 71703 | Florida |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 71703 | Florida |
Profile Details
NPI number | 1952308181 |
---|---|
LBN Legal business name | Proctor, Gary Ray |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2005 |
Last updated | Jul 8th, 2007 - about 17 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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