Search › Florida › 207Q00000X
Mary Ray, D.O
NPI 1306846795 · on the registry since 2005
Practice
- Address
- 316 Paseo Reyes Dr
St Augustine, FL 32095 - Phone
- (904) 342-0219
- Organisation at this address
- Bold City Dermatology Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 1409 Kingsley Ave, Orange Park, FL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X - Licence states on file
- IN, DC, NC, SC, VA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida