Individual
DR. JEFFREY KENT RAINES
Active
Individual
DR. JEFFREY KENT RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
171950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2086850
CLIA
FL
01
—
171950
FLORIDA DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE
FL
01
—
57079
AMERICAN REGISTRY OF DIAGNOSTIC MEDICAL SONOGRAPHERS
FL
Enumeration date
04/08/2015
Last updated
08/04/2023
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