| Giles D. Rainwater Phd, Pa | |
|
2210 Front St Ste 208 Melbourne FL 32901-7506 | |
| (321) 729-0080 | |
| (321) 574-3816 |
| Full Name | Giles D. Rainwater Phd, Pa |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2210 Front St Ste 208, Melbourne, Florida |
| Authorized Official Name and Position | Giles Dean Rainwater (PRESIDENT) |
| Authorized Official Contact | 3217290080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Giles D. Rainwater Phd, Pa 2210 Front St Ste 208 Melbourne FL 32901-7506 Ph: (321) 729-0080 | Giles D. Rainwater Phd, Pa 2210 Front St Ste 208 Melbourne FL 32901-7506 Ph: (321) 729-0080 |
| NPI Number | 1902108715 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 02/16/2011 |
| Medicare PECOS PAC ID | 4587724588 |
|---|---|
| Medicare Enrollment ID | O20081120000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902108715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Giles D Rainwater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437254901 PECOS PAC ID: 5597825596 Enrollment ID: I20081120000614 |
| Provider Name | Laura Annette Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750851887 PECOS PAC ID: 5496092926 Enrollment ID: I20200316001259 |
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