Belton Craig Ray in Jacksonville - Geriatric Medicine

Belton Craig Ray - NPI 1770575052

Belton Craig Ray is a Geriatric Medicine in Jacksonville, Florida. Belton Craig Ray practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Belton Craig Ray is 1770575052. The last update date is 2007-07-08.

Belton Craig Ray's current location address is 2627 Riverside Ave, Jacksonville, Florida. You can contact this provider via phone number 9043087372 and fax number 9043082998. The mailing address for Belton Craig Ray is 2627 Riverside Ave, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Belton Craig Ray
Address 2627 Riverside Ave, Jacksonville, Florida
Phone Number 9043087372
Fax Number 9043082998
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1770575052
Provider Enumeration Date 2005-08-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2627 Riverside Ave
City Jacksonville
State Florida (FL)
Post Code 322044712
Phone Number 9043087372
Fax Number 9043082998

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No ME0013757
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4047756 FL AETNA
16709 FL BCBS
2835002-001 FL CIGNA
203470 FL HEALTHEASE

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FAQs about Belton Craig Ray

What is the unique identification code assigned to Belton Craig Ray by the Centers for Medicare & Medicaid Services?

The Belton Craig Ray has been issued the NPI (National Provider Identifier) 1770575052. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Belton Craig Ray?

The Belton Craig Ray is situated at 2627 Riverside Ave, in the city of Jacksonville, state of FL, with the zip code 322044712.

What is Belton Craig Ray's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Belton Craig Ray's specialized field of practice is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qg0300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770575052 to Belton Craig Ray?

The Centers for Medicare & Medicaid Services assigned the 1770575052 to Belton Craig Ray on 2005-08-22.

As of what date were the details related to Belton Craig Ray most recently updated or revised?

The information pertaining to Belton Craig Ray, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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