Dr Tia Briana Raysor, PHARMD is a
Pharmacist based in Fernandina, Florida. Dr Tia Briana Raysor is licensed to practice in Florida (license number PS62171) and her current practice location is
2101 Sadler Rd, Fernandina, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 277-9615.
NPI number for Dr Tia Briana Raysor is 1063094241 and her current mailing address is 61 Perry Creek Dr, Jacksonville, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063094241.
Healthcare Provider's Profile
| Full Name | Dr Tia Briana Raysor |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 2101 Sadler Rd, Fernandina, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063094241
- Provider Enumeration Date: 04/27/2021
- Last Update Date: 04/27/2021
Medical Identifiers
Medical identifiers for Dr Tia Briana Raysor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063094241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS62171 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tia Briana Raysor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Tia Briana Raysor, PHARMD
61 Perry Creek Dr,
Jacksonville, FL 32220-3746
Ph: (954) 240-5157 | Dr Tia Briana Raysor, PHARMD
2101 Sadler Rd,
Fernandina, FL 32034-4452
Ph: (904) 277-9615 |
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