NPI 1285871863

Raylan Dale Smith, CSTCFA

Practitioner Surgical Assistant Coral Springs, FL

Practice location

Address: 10531 NW 57th St, Coral Springs, FL 33076-2807
Phone: (954) 227-8224
Fax: (954) 227-7442
Mailing address: PO Box 970528, Coconut Creek, FL 33097-0528

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 111679 (FL)

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1285871863
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2009
Record last updated: 19 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.