Raysor, Derrick Lavar

Raysor, Derrick Lavar is an individual health care provider with primary practice located at 2104 Massey Ave , Jacksonville FL 32228. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Raysor, Derrick Lavar can be contacted via phone (904) 270-4233.

Contact Information

Primary practice address
2104 Massey Ave Jacksonville FL 32228
Phone: (904) 270-4233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1942512231
LBN Legal business name Raysor, Derrick Lavar
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2010
Last updated Apr 5th, 2019 - 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.

Request for update

Popular Providers