Organization
GILES D. RAINWATER PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILES DEAN RAINWATER PHD (PRESIDENT)
(321) 729-0080
Entity
Organization
Contact information
Practice address
2210 FRONT ST STE 208, MELBOURNE, FL 32901-7506
(321) 729-0080
(321) 574-3816
Mailing address
2210 FRONT ST STE 208, MELBOURNE, FL 32901-7506
(321) 729-0080
(321) 574-3816
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
02/16/2011
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