Healthcare Provider Details

I. General information

NPI: 1821916180
Provider Name (Legal Business Name): CINNAMON OATES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 WHITCOMBE DR
ROYAL PALM BEACH FL
33411-8377
US

IV. Provider business mailing address

1405 WHITCOMBE DR
ROYAL PALM BEACH FL
33411-8377
US

V. Phone/Fax

Practice location:
  • Phone: 561-779-4860
  • Fax:
Mailing address:
  • Phone: 561-779-4860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: