| Scott L Ray Do Pa | |
|
2350 Sunset Point Rd Suite C Clearwater FL 33765-1443 | |
| (727) 797-3155 | |
| (727) 797-4301 |
| Full Name | Scott L Ray Do Pa |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2350 Sunset Point Rd, Clearwater, Florida |
| Authorized Official Name and Position | Scott L Ray (OWNER) |
| Authorized Official Contact | 7277973155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott L Ray Do Pa 2350 Sunset Point Rd Suite C Clearwater FL 33765-1443 Ph: (727) 797-3155 | Scott L Ray Do Pa 2350 Sunset Point Rd Suite C Clearwater FL 33765-1443 Ph: (727) 797-3155 |
| NPI Number | 1093726481 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093726481 | NPI | - | NPPES |
| 069515700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | OSOOO4600 (Florida) | Primary |
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Jerome Koser Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2349 Sunset Point Rd, Unit 403, Clearwater, FL 33765 Phone: 727-796-8600 Fax: 727-796-8660 | |
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