MEDICARE: DR. CINDY KORTE MD

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	2080N0001X	Neonatal-Perinatal Medicine Physician	ME158686	FL
2	2080N0001X	Neonatal-Perinatal Medicine Physician	G73650	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1962494575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CINDY KORTE MD

Provider Business Mailing Address
First Line	:	39411 COUNTY ROAD 29
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95616-9502
Country	:	US
Telephone Number	:	850-431-0170
Fax Number	:	850-431-0169

Provider Business Practice Location Address
First Line	:	1300 MICCOSUKEE RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5054
Country	:	US
Telephone Number	:	850-471-0170
Fax Number	:	850-471-0169

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	04/18/2025

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Directions to “ DR. CINDY KORTE MD” Practice Location

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