Cannedy-Byrd, Raina L

Cannedy-Byrd, Raina L is an sole proprietor health care provider with primary practice located at 5015 Queen Palm Dr , New Port Richey FL 34652-5912. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Cannedy-Byrd, Raina L can be contacted via phone (813) 506-2057.

Contact Information

Primary practice address
5015 Queen Palm Dr New Port Richey FL 34652-5912
Phone: (813) 506-2057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1043805633
LBN Legal business name Cannedy-Byrd, Raina L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2021
Last updated Apr 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043805633 NPPES
Florida MEDICAID 813518338

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