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Derrick Raysor, IDC
NPI 1942512231 · on the registry since 2010
Practice
- Address
- 2104 Massey Ave
Jacksonville, FL 32228 - Phone
- (904) 270-4233
- Clinicians at this address
- 25
Additional practice sites
- 1212 E 1st St Apt 88, Jacksonville, FL
- 2080 Child St, Jacksonville, FL
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Sex
- Male
- Record last updated
- 2019-04-05
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