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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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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