Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | ME41334 | FL |
NPI | 1023034089 |
---|---|
Provider Name | Mrs. Caroline S. Rains |
First Address | Gainesville, FL 32641-7516 |
Second Address | Gainesville, FL 32641-7516 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E42618 | (02) |