Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME37707 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME37707 | FL |
NPI | 1124055611 |
---|---|
Provider Name | James M. Ray |
First Address | North Fort Myers, FL 33903-7099 |
Second Address | Naples, FL 34110-0948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 16/10/2018 |