Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Lavar Raysor, IDC

Individual provider Independent Duty Corpsman · NPI 1942512231

Derrick Lavar Raysor, IDC is an Independent Duty Corpsman in Jacksonville, Florida. Works from 3 locations. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2104 Massey Ave
Jacksonville, FL 32228
Phone: (904) 270-4233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1212 E 1st St Apt 88, Jacksonville, FL 32206-5338 — (904) 686-6040
  • 2080 Child St, Jacksonville, FL 32214-5338 — (904) 542-7300

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1942512231
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 2, 2010
Last updated in NPPESApril 5, 2019
Mailing address10088 Kit Fox Pkwy, Jacksonville, FL 32222-4188

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