Healthcare Provider Details
I. General information
NPI: 1336172295
Provider Name (Legal Business Name): CYNTHIA R HOHMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
260 BETH STACEY BLVD # C
LEHIGH ACRES FL
33936-6074
US
IV. Provider business mailing address
PO BOX 2147
FORT MYERS FL
33902-2147
US
V. Phone/Fax
- Phone: 239-343-9888
- Fax: 239-303-0714
- Phone: 239-343-9888
- Fax: 239-303-0714
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | ARNP9190161 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | ARNP9190161 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: