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Contact Information

RYAN PAYNE, PA
1755 N FLORIDA AVE
LAKELAND, FL33805
 Phone: 863-904-6209
 Fax: 863-904-6281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for RYAN PAYNE · (Male)

NPI Number 1235685512
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/28/2016
Last updated 04/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AL 3073
  • FL License # PA9115783
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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