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NPI Code Detail

MEDICARE: MRS. CYNTHIA M PERKINS CNM

MEDICARE: MRS. CYNTHIA M PERKINS CNM
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
1367A00000XAdvanced Practice MidwifeARNP9340795FL
2363L00000XNurse PractitionerARNP9340795FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275598815
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA M PERKINS CNM
Provider Business Mailing Address
First Line : PO BOX 25317
Second Line :
City : TAMPA
State : FL
Zip : 33622-5317
Country : US
Telephone Number : 813-286-0033
Fax Number : 813-282-1806
Provider Business Practice Location Address
First Line : 2400 HOOK ST
Second Line : SUITE 100
City : CLERMONT
State : FL
Zip : 34711-3514
Country : US
Telephone Number : 352-241-6460
Fax Number : 352-241-6461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 07/22/2019

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