MEDICARE: MARK ALLEN RINER M.D.

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	207RG0100X	Gastroenterology Physician	ME 50466	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275521221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ALLEN RINER M.D.

Provider Business Mailing Address
First Line	:	1893 N CLYDE MORRIS BLVD
Second Line	:	SUITE 100
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5535
Country	:	US
Telephone Number	:	386-677-0531
Fax Number	:	386-672-7515

Provider Business Practice Location Address
First Line	:	1893 N CLYDE MORRIS BLVD
Second Line	:	SUITE 100
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5535
Country	:	US
Telephone Number	:	386-677-0531
Fax Number	:	386-672-7515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	12/30/2016

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Directions to “ MARK ALLEN RINER M.D.” Practice Location

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