Ray C Wunderlich Jr M.D. P.A.
Point of Service in St Petersburg, FL. Organization (NPI-2).
NPI number1245307917
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1245307917
- Entity type
- Organization (NPI-2)
- Legal business name
- Ray C Wunderlich Jr M.D. P.A.
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Practice location
8821 Dr Martin Luther King Jr St NSt Petersburg, FL 33702-3443
Phone 727-822-3612 · Fax 727-578-1370
Mailing address
8821 Dr Martin Luther King Jr St NSt Petersburg, FL 33702-3443
Phone 727-822-3612 · Fax 727-578-1370
Authorized official
Cheryl Lynn Sweeney
Billing Company Owner
7273911257
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