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NPI Code Detail

MEDICARE: CYNTHIA SIMON WAKIM PA

MEDICARE: CYNTHIA SIMON WAKIM PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2363AS0400XSurgical Physician AssistantPA9119896FL

General Provider Information

NPI Number : 1033916093
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA SIMON WAKIM PA
Provider Business Mailing Address
First Line : 3977 KNOTT DR
Second Line :
City : APOPKA
State : FL
Zip : 32712-6447
Country : US
Telephone Number : 407-325-5251
Fax Number :
Provider Business Practice Location Address
First Line : 1900 DON WICKHAM DR STE 127
Second Line :
City : CLERMONT
State : FL
Zip : 34711-1979
Country : US
Telephone Number : 407-648-5384
Fax Number : 321-843-6975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 06/23/2025

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Directions to “ CYNTHIA SIMON WAKIM PA” Practice Location

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