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

Raya Blackwell

Individual provider Medical Physician Assistant · NPI 1194414292

Raya Blackwell is a Physician Assistant in Lake Mary, Florida. Qualified in 2023, 3 years ago. Practices with West Volusia Family and Sports Medicine Inc, a 12-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885
Phone: (407) 320-8100
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1194414292
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESMay 10, 2026
Certification dateMay 10, 2026
Mailing address755 Rinehart Rd Ste 100, Lake Mary, FL 32746-4885

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice West Volusia Family And Sports Medicine Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Mary