NPI 1215000658

Walter Raymond Raynor, CO

Practitioner Orthotist Tampa, FL

Practice location

Address: 2727 Martin Luther King Blvd Suite 690, Tampa, FL 33607
Phone: (813) 540-0100
Fax: (813) 248-0629
Mailing address: 5311 E Flatcher Avenue, Tampa, FL 33617

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence ORT140 (FL)

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Registry record

NPI: 1215000658
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.