DR. ERIC RAYNAL (NPI# 1457514796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457514796 |
| Entity Type | Individual |
| Full Name | DR. ERIC RAYNAL |
| Credential | D.M.D. |
| Practice Address |
212 N Moon Ave Brandon FL 33510-4422 |
| Practice Telephone | 8136895928 |
| Mailing Telephone | 8136895928 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN14364 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538694666 | Eric Antoine Raynal | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2017-04-26 |
| Street Address |
212 N MOON AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-4422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144435918 | Walker and Raynal Dmd | Dentist | 212 N Moon Ave, Brandon, FL 33510-4422 | 2007-05-14 |
| 1568029692 | Sarah Renee Barr | Dentist | 212 N Moon Ave, Brandon, FL 33510-4422 | 2019-05-23 |
| 1720241078 | David Walker | Dentist | 212 N Moon Ave, Brandon, FL 33510-4422 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955340 | Terah Shelby | Dentist | 2139 Highway 471, Brandon, MS 39047-8748 | 2020-06-03 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1992368112 | Donna Mansour | Dentist | 971 E Bloomingdale Ave, Brandon, FL 33511-8118 | 2019-04-15 |
| 1538672787 | Brandon Smiles LLC | Dentist | 926 West Lumsden Rd, Brandon, FL 33511 | 2017-11-09 |
| 1770009649 | Arnold Dentistry, Pa | Dentist | 330 E Bloomingdale Ave, Brandon, FL 33511-8155 | 2017-08-22 |
| 1679003768 | Jay Ghiya | Dentist | 10955 Causeway Blvd, Brandon, FL 33511-1997 | 2017-06-13 |
| 1497106033 | Affiliated Dental Specialist | Dentist | 2488 W Brandon Blvd Ste B, Brandon, FL 33511-4710 | 2016-06-24 |
| 1699150110 | Shadan Hafsa | Dentist | 611 E Bloomingdale Ave Ste C, Brandon, FL 33511-8127 | 2015-07-26 |
| 1427439835 | Daniel Ray Carney | Dentist | 100 Avalon Ct Ste A, Brandon, MS 39047-7672 | 2015-06-11 |
| 1770982183 | Maria Yatzkan | Dentist | 2118 W Brandon Blvd., Brandon, FLORIDA 33511 | 2014-08-21 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.