MEDICARE: MRS. JILL ELIZABETH CINKO

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
1	363LA2200X	Adult Health Nurse Practitioner	ARNP25594	FL

General Provider Information

NPI Number	:	1801834841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JILL ELIZABETH CINKO

Provider Business Mailing Address
First Line	:	4129 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6436
Country	:	US
Telephone Number	:	813-879-3699
Fax Number	:	813-873-8469

Provider Business Practice Location Address
First Line	:	4129 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6436
Country	:	US
Telephone Number	:	813-879-3699
Fax Number	:	813-873-8469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	05/30/2013

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