Organization · Type 2 NPI

Ray C Wunderlich JR M.d. P.a.

Point of Service · St. Petersburg, FL

NPI number 1245307917 Active

Practice location

8821 Dr Martin Luther King Jr St N
St. Petersburg, FL 33702-3443

Fax (727) 578-1370

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1245307917

Ray C Wunderlich JR M.d. P.a.'s National Provider Identifier is 1245307917, issued on Nov 29, 2006. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 22, 2020.