Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK LAVAR RAYSOR, IDC
ActiveDERRICK LAVAR RAYSOR, IDC is a Independent Duty Corpsman healthcare provider located in JACKSONVILLE, Florida. NPI 1942512231 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1942512231
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2010 (16.075947732119 yrs)
- Last Updated
- Apr 5, 2019
Practice Information
- Address
-
2104 MASSEY AVEJACKSONVILLE, FL, 32228Browse FL providers · Browse ZIP 32228
- Phone
- 9042704233
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. DION ERICSON BLAKE | IDC | 1922076827 |
| SAMUEL THOMAS GILLILAND | IDC | 1679540645 |
| MR. HECTOR LUIS ORTIZ II | — | 1174591903 |
| ROBERT TODD POWELL | IDC | 1922061142 |
| MICHAEL JAMES HOLMES | IDC | 1063476257 |
| DAVID JOSHUA MAYER | — | 1851433411 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.