Provider Demographics
NPI:1467524215
Name:RAY, COURTNEY J (MD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:J
Last Name:RAY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1717 N E ST
Mailing Address - Street 2:SUITE 334
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-6339
Mailing Address - Country:US
Mailing Address - Phone:850-438-1277
Mailing Address - Fax:850-438-1278
Practice Address - Street 1:1717 N E ST
Practice Address - Street 2:SUITE 334
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-6339
Practice Address - Country:US
Practice Address - Phone:850-438-1277
Practice Address - Fax:850-438-1278
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME76695207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254982400Medicaid
FL254982400Medicaid
FLG50244Medicare UPIN