Individual provider · Type 1 NPI
Bernardus E. Ray, CFA PA
Surgical Physician Assistant · Rotonda West, FL
NPI number
1609083724
Active
Practice location
15 Broadmoor Rd
Rotonda West, FL 33947-1901
Mailing address
PO Box 3313
Bay St. Louis, MS 39521-3313
Other practice locations
- 230 Audubon Dr, Mandeville, LA 70471 · (985) 845-1501
- 1700 Tamiami Trl, Sarasota, FL 34239-3509 · (941) 917-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 1131 (FL) |
| Surgical Assistant | 246ZC0007X | 0136000230 (VA) |
| Surgical Physician Assistant Primary | 363AS0400X | CN 2545 (FL) |
Surgical Physician Assistant: Definition to come...
About NPI 1609083724
Bernardus E. Ray, CFA PA's National Provider Identifier is 1609083724, issued on May 17, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rotonda West, FL. The record was last updated on Jul 8, 2024.