Organization
DAVID B RAYNOR DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B RAYNOR DPM (OWNER/PRESIDENT)
(352) 726-3668
Entity
Organization
Contact information
Practice address
490 PLEASANT GROVE RD, INVERNESS, FL 34452-5746
(352) 726-3668
(352) 726-1003
Mailing address
490 PLEASANT GROVE RD, INVERNESS, FL 34452-5746
(352) 726-3668
(352) 726-1003
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH0351
RAILROAD MEDICARE GROUP
FL
01
—
P00468303
RAILROAD MEDICARE PTAN
FL
Enumeration date
02/26/2008
Last updated
03/04/2009
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