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Raya Blackwell
Medical Physician Assistant in New Smyrna Beach, Florida
NPI 1194414292

Raya Blackwell is a Medical Physician Assistant based in Pittsburgh, FL and is specialized in Medical. Raya Blackwell practices in New Smyrna Beach, FL. The NPI Number for Raya Blackwell is 1194414292 and holds a License No. (Florida).

The current practice location address for Raya Blackwell is 125 Florida Memorial Pkwy, New Smyrna Beach, FL and can be reached out via phone at 386-409-6800.

Location: 125 Florida Memorial Pkwy, New Smyrna Beach, FL, 15222-5112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194414292
Provider Name
Raya Blackwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 Florida Memorial Pkwy, New Smyrna Beach, FL, 15222-5112
Phone Number
386-409-6800
Fax Number
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 Florida Memorial Pkwy
City
New Smyrna Beach
State
Florida
Zip
32168-9311
Phone Number
386-409-6800
Fax Number
person
Provider Business Mailing Address Details
Address
125 Florida Memorial Pkwy
City
New Smyrna Beach
State
Florida
Zip
32168-9311
Phone Number
386-409-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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