Organization Active NPI

Cindie Raybon, MD, LLC

Doing business as Raybon Pediatrics

  • Pediatrics Physician
  • Palatka, FL
National Provider Identifier
1043708217
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME60390 Issued in FL
Legal business name
CINDIE RAYBON, MD, LLC
Doing business as
Raybon Pediatrics
Practice address
700 Zeagler Dr Ste 7
Palatka, FL 32177-3826
Phone
(386) 385-8137
Fax
(386) 487-2113
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindie Raybon, MDNPI 1548353204
Title
Owner
Phone
(352) 212-1796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME60390 FL Primary

Addresses

Primary practice location

700 Zeagler Dr Ste 7
Palatka, FL 32177-3826

Mailing address

109 Sunset PT
Palatka, FL 32177-9048
Phone (352) 212-1767

Other identifiers 2

IdentifierTypeStateIssuer
1548353204OtherFLNPI
374809000MedicaidFL

Other names 1

  • RAYBON PEDIATRICS Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2154165Raybon Pediatrics700 Zeagler Dr Ste 7, Palatka, FL 32177Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1043708217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 SUNSET PT",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779048",
            "telephone_number": "352-212-1767",
            "fax_number": "386-487-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 7",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-385-8137",
            "fax_number": "386-487-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDIE RAYBON, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "RAYBON",
        "authorized_official_first_name": "CINDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-212-1796",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME60390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548353204",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374809000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYBON PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.