Raylan Dale Smith, CST/CFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

111679 Issued in FL

Practice address

10531 NW 57TH St
Coral Springs, FL 33076-2807

Phone

(954) 227-8224

Fax

(954) 227-7442

NPI assigned

Jan 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1285871863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970528",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 NW 57TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762807",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RAYLAN",
        "middle_name": "DALE",
        "credential": "CST/CFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "111679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleonore Maeva Smith
• Jasset Smith, PSY.D., LMHC
• Kiara Smith
• Marcus Smith, AP, L.AC, MSOM
• Narragansett Smith, LMT
• Shamonia Smith
• Shaun Locksley Smith, DDS PLLC
• Stephanie Smith, PH.D.
• Suan Shantae Smith
• Tanisha Smith

• Surgical Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.