Healthcare Provider Details

I. General information

NPI: 1003108432
Provider Name (Legal Business Name): CYNTHIA BEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 GREEN RIDGE RD
TAMPA FL
33619-4978
US

IV. Provider business mailing address

1721 GREEN RIDGE RD
TAMPA FL
33619-4978
US

V. Phone/Fax

Practice location:
  • Phone: 813-622-6469
  • Fax: 813-343-4128
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number002439900
License Number StateFL

VIII. Authorized Official

Name: CYNTHIA L BEST
Title or Position: OWNER
Credential:
Phone: 813-622-6469