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General NPI Number Information
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NPI Number | 1639437452
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Entity Type | Individual
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Provider Name | CINTASHA T'RENA REDMOND M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2012
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 239-208-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 239-984-6839
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME156944
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME156944
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2016-01500
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2022045601
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License Number State | MO
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