Individual
JUANITA MAE RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
5825 JENNY DR, TAMPA, FL 33617-1104
(941) 585-8594
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
FL
Other
Enumeration date
02/28/2018
Last updated
03/07/2018
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