Provider Demographics
NPI:1912153974
Name:RAINES-PINKERTON, FLORA RUTH (BA)
Entity Type:Individual
Prefix:MRS
First Name:FLORA
Middle Name:RUTH
Last Name:RAINES-PINKERTON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1491 HAYWORTH RD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-2725
Mailing Address - Country:US
Mailing Address - Phone:863-993-4601
Mailing Address - Fax:863-993-4659
Practice Address - Street 1:1491 HAYWORTH RD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-2725
Practice Address - Country:US
Practice Address - Phone:863-993-4601
Practice Address - Fax:863-993-4659
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker