IndividualActive
Derrick Raysor, IDC
NPI 1942512231 · Independent Duty Corpsman · Jacksonville, FL
Provider details
- NPI number
- 1942512231
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2104 Massey Ave
Jacksonville, FL 32228
Phone: (904) 270-4233
Approximate (ZIP-level) locationGet directions
Mailing address
10088 Kit Fox Pkwy
Jacksonville, FL 32222-4188
Additional practice locations (2)
- 1212 E 1st St Apt 88Jacksonville, FL 32206-5338Phone: (904) 686-6040
- 2080 Child StJacksonville, FL 32214-5338Phone: (904) 542-7300
Registry dates
- Enumerated
- 2010-07-02
- Last updated
- 2019-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.