Healthcare Provider Details

I. General information

NPI: 1790553683
Provider Name (Legal Business Name): CINTHIA DAMARI DELGADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2023
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2027 OLD HICKORY TREE RD
SAINT CLOUD FL
34771-5815
US

IV. Provider business mailing address

3551 BUCKINGHAM CT
SAINT CLOUD FL
34772-8727
US

V. Phone/Fax

Practice location:
  • Phone: 689-303-2219
  • Fax:
Mailing address:
  • Phone: 786-405-5817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF11230368
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11030868
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: