DERRICK RAYSOR, IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1942512231

Practice Address

2104 MASSEY AVE
Jacksonville, FL 32228

Phone: (904) 270-4233

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1942512231 is the National Provider Identifier for DERRICK RAYSOR, IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Jacksonville, FL. This NPI was enumerated on July 2, 2010.
DERRICK RAYSOR, IDC practices at 2104 MASSEY AVE, Jacksonville, FL 32228.

Quick Facts

NPI
1942512231
Type
Individual
Enumerated
Jul 2, 2010
Last Updated
Apr 5, 2019

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