Ray, Mary Elizabeth

Ray, Mary Elizabeth is an individual health care provider with primary practice located at 316 Paseo Reyes Dr , St Augustine FL 32095-8464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ray, Mary Elizabeth can be contacted via phone (904) 342-0219.

Contact Information

Primary practice address
316 Paseo Reyes Dr St Augustine FL 32095-8464
Phone: (904) 342-0219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02005514A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO034780 District of Columbia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018-02504 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 81617 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0102205452 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS 10534 Florida

Profile Details

NPI number 1306846795
LBN Legal business name Ray, Mary Elizabeth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 12th, 2020 - about 5 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 1306846795 NPPES
Florida Other P00756545 MEDICARE RAILROAD
Florida MEDICAID 001090100 MEDICARE RAILROAD

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