Healthcare Provider Details

I. General information

NPI: 1598122749
Provider Name (Legal Business Name): CINTIA HENRIQUES HULTZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 S MILITARY TRL STE C
WEST PALM BEACH FL
33415-4600
US

IV. Provider business mailing address

15226 71ST DR N
WEST PALM BEACH FL
33418-1939
US

V. Phone/Fax

Practice location:
  • Phone: 561-642-6309
  • Fax:
Mailing address:
  • Phone: 954-263-1257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9109327
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9109327
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: