Healthcare Provider Details

I. General information

NPI: 1992785893
Provider Name (Legal Business Name): CYNTHIA LYNN LARIMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDI LYNN LARIMER MD

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 03/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6830 NW 11TH PL SUITE A
GAINESVILLE FL
32605-4254
US

IV. Provider business mailing address

210 SW 86TH TER
GAINESVILLE FL
32607-1461
US

V. Phone/Fax

Practice location:
  • Phone: 352-672-9000
  • Fax: 352-505-8552
Mailing address:
  • Phone: 352-331-3793
  • Fax: 352-331-3793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME0054910
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License NumberME0054919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: