Individual provider · Type 1 NPI

Raya Blackwell

Medical Physician Assistant · Lake Mary, FL

NPI number 1194414292 Active

Practice location

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885

Call (407) 320-8100 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1194414292

Raya Blackwell's National Provider Identifier is 1194414292, issued on May 4, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Mary, FL. The record was last updated on May 10, 2026.