Ray, Dorothy Joan

Ray, Dorothy Joan is an sole proprietor health care provider with primary practice located at 2140 E Edgewood Dr , Lakeland FL 33803-3604. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ray, Dorothy Joan can be contacted via phone (863) 669-1212.

Contact Information

Primary practice address
2140 E Edgewood Dr Lakeland FL 33803-3604
Fax: (863) 666-6089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME57795 Florida

Profile Details

NPI number 1558335760
LBN Legal business name Ray, Dorothy Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Oct 18th, 2021 - about 3 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 1558335760 NPPES
Florida MEDICAID 063449200

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