Healthcare Provider Details

I. General information

NPI: 1740930379
Provider Name (Legal Business Name): CYNTHIA K ABRAHAM DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 W SAMPLE RD STE 405-1
CORAL SPRINGS FL
33065-4048
US

IV. Provider business mailing address

950 SW 86TH AVE
PEMBROKE PINES FL
33025-3397
US

V. Phone/Fax

Practice location:
  • Phone: 954-603-4081
  • Fax:
Mailing address:
  • Phone: 954-892-9662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberOS23152
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: