Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME 82638 | FL |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME82638 | FL |
NPI | 1710984281 |
---|---|
Provider Name | Karen V Ray |
First Address | Pt Charlotte, FL 33981 |
Second Address | Pt Charlotte, FL 33981 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 22/02/2010 |