Provider Demographics
NPI:1538366208
Name:RAIT HEALTH CENTER, P.A.
Entity type:Organization
Organization Name:RAIT HEALTH CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:RAIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-966-6033
Mailing Address - Street 1:4765 N CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7941
Mailing Address - Country:US
Mailing Address - Phone:561-966-6033
Mailing Address - Fax:561-966-3822
Practice Address - Street 1:4765 N CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7941
Practice Address - Country:US
Practice Address - Phone:561-966-6033
Practice Address - Fax:561-966-3822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty