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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043805633 | NPPES |
| Florida | MEDICAID | 813518338 |
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