Individual
DR. CYNTHIA M BANUCHI-RIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 N DOVERPLUM AVE, KISSIMMEE, FL 34758
(407) 943-8600
(407) 943-8600
Mailing address
1877 FORTUNE RD, KISSIMMEE, FL 34744-4428
(407) 943-8600
(407) 943-8640
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1168
FL
261QE0002X
Emergency Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACN1168
LICENSE
FL
Enumeration date
05/15/2007
Last updated
06/11/2021
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