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DR. ROBERT EDWARD RAYDER NPI 1043383938


NPI Profile

NPI: 1043383938
Provider Name: DR. ROBERT EDWARD RAYDER
Classification:Pediatrics - 208000000X
Entity Type: Individual
Address:
4048 EVANS AVE STE 209
FORT MYERS, FL
ZIP 33901
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Phone: (239) 278-9983

DR. Robert Edward Rayder is a pediatrics in Fort Myers, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Robert Edward Rayder NPI is 1043383938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4048 EVANS AVE STE 209
FORT MYERS, FL
ZIP 33901-385
Phone: (239) 278-9983
Fax: (239) 278-9985

The enumeration date for this NPI number is 11/16/2006 and was last updated on 8/4/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME34459FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1371731300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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