Individual
RAINA L CANNEDY-BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5015 QUEEN PALM DR, NEW PORT RICHEY, FL 34652-5912
(813) 506-2057
Mailing address
5015 QUEEN PALM DR, NEW PORT RICHEY, FL 34652-5912
(813) 506-2057
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813518338
—
FL
Enumeration date
03/04/2021
Last updated
04/16/2021
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