Individual
RAYLAN DALE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
10531 NW 57TH ST, CORAL SPRINGS, FL 33076-2807
(954) 227-8224
(954) 227-7442
Mailing address
PO BOX 970528, COCONUT CREEK, FL 33097-0528
(954) 227-8224
(954) 227-7442
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
111679
FL
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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