Healthcare Provider Details

I. General information

NPI: 1548474828
Provider Name (Legal Business Name): CYNTHIA LOU HUFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SOUTH BOULEVARD
TAMPA FL
33606
US

IV. Provider business mailing address

501 SOUTH BOULEVARD
TAMPA FL
33606
US

V. Phone/Fax

Practice location:
  • Phone: 813-877-8839
  • Fax: 813-873-2303
Mailing address:
  • Phone: 813-877-8839
  • Fax: 813-873-2303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number51230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: