Provider Demographics
NPI:1710984281
Name:RAY, KAREN V (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:V
Last Name:RAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12034 N. ACCESS RD.
Mailing Address - Street 2:
Mailing Address - City:PT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33981
Mailing Address - Country:US
Mailing Address - Phone:941-548-2300
Mailing Address - Fax:941-548-2395
Practice Address - Street 1:12034 N. ACCESS RD.
Practice Address - Street 2:
Practice Address - City:PT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33981
Practice Address - Country:US
Practice Address - Phone:941-548-2300
Practice Address - Fax:941-548-2395
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82638207QH0002X
FLME 82638207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine