MEDICARE: MR. ERIC RAINES JR.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346108495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC RAINES JR.

Provider Business Mailing Address
First Line	:	8910 MIRAMAR PKWY STE 100
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-4187
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 BROADWAY ST STE B
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27701-2402
Country	:	US
Telephone Number	:	913-591-0332
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/28/2026

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Directions to “ MR. ERIC RAINES JR. ” Practice Location

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