MEDICARE: CYNTHIA RAINGE

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	372600000X	Adult Companion	45-5062004	FL

General Provider Information

NPI Number	:	1285991125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA RAINGE

Provider Business Mailing Address
First Line	:	1759 KEATS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-3121
Country	:	US
Telephone Number	:	904-401-9443
Fax Number	:

Provider Business Practice Location Address
First Line	:	1759 KEATS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-3121
Country	:	US
Telephone Number	:	904-401-9443
Fax Number	:

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

Provider Enumeration Date	:	04/17/2012
Last Update Date	:	04/17/2012

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Directions to “ CYNTHIA RAINGE ” Practice Location

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