MEDICARE: CINDY N. BRAYER, DMD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN 8235	FL
2	1223G0001X	General Practice Dentistry	DN 15217	FL

General Provider Information

NPI Number	:	1184903775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINDY N. BRAYER, DMD, PA

Provider Business Mailing Address
First Line	:	3388 49TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-2146
Country	:	US
Telephone Number	:	727-323-0377
Fax Number	:	727-323-3989

Provider Business Practice Location Address
First Line	:	3388 49TH ST N
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33710-2146
Country	:	US
Telephone Number	:	727-323-0377
Fax Number	:	727-323-3989

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CINDY N BRAYER
Credential	:	D.M.D., P.A
Telephone Number	:	727-323-0377

Provider Enumeration Date	:	08/12/2011
Last Update Date	:	08/12/2011

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