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NPI Code Detail

MEDICARE: CYNTHIA VERTUS

MEDICARE:   CYNTHIA  VERTUS
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
1106S00000XBehavior TechnicianBACB870931FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215626544
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA VERTUS
Provider Business Mailing Address
First Line : 6260 PLAINS DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-1506
Country : US
Telephone Number : 404-649-2346
Fax Number :
Provider Business Practice Location Address
First Line : 6260 PLAINS DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-1506
Country : US
Telephone Number : 404-649-2346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/03/2023

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Directions to “ CYNTHIA VERTUS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.