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NPI Code Detail

MEDICARE: MISS CINDY LUE RAJ C.R.N.A.

MEDICARE: MISS CINDY LUE RAJ C.R.N.A.
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
1367500000XCertified Registered Nurse AnesthetistARNP 9209228FL

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 : 1720018369
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CINDY LUE RAJ C.R.N.A.
Provider Business Mailing Address
First Line : 1500 NW 12TH AVE
Second Line : SUITE 1129
City : MIAMI
State : FL
Zip : 33136-1096
Country : US
Telephone Number : 305-585-8957
Fax Number : 305-585-5259
Provider Business Practice Location Address
First Line : 1500 NW 12TH AVE
Second Line : SUITE 1129
City : MIAMI
State : FL
Zip : 33136-1096
Country : US
Telephone Number : 305-585-8957
Fax Number : 305-585-5259
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 12/12/2017

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