Healthcare Provider Details

I. General information

NPI: 1285499202
Provider Name (Legal Business Name): CINDY DENISE SYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N TYNDALL PKWY
PANAMA CITY FL
32404-6124
US

IV. Provider business mailing address

7204 LAKE SUZZANNE LN
PANAMA CITY FL
32404-3410
US

V. Phone/Fax

Practice location:
  • Phone: 850-691-9747
  • Fax:
Mailing address:
  • Phone: 850-691-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: