Individual
DR. EBONI SHAVONE RAINEY-HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 W STATE ROAD 436 STE 1005, ALTAMONTE SPRINGS, FL 32714-3055
(407) 383-0643
(407) 266-0977
Mailing address
851 W STATE ROAD 436 STE 1005, ALTAMONTE SPRINGS, FL 32714-3055
(407) 383-0643
(407) 266-0977
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FB9767225
FL
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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