RAY C WUNDERLICH JR M.D. P.A. NPI 1245307917

NPI Information

RAY C WUNDERLICH JR M.D. P.A. is a point of service in St Petersburg, FL. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. RAY C WUNDERLICH JR M.D. P.A. NPI is 1245307917. The provider is registered as an organization entity type.

The provider's business location address is:

8821 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL
ZIP 33702-443
Phone: (727) 822-3612
Fax: (727) 578-1370

The provider's authorized official is Cheryl Lynn Sweeney .
The authorized official title is Billing Company Owner and has the following contact phone number (727) 391-1257.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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