Individual
CYNTHIA P DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
1641 MAHAN CENTER BLVD, SUITE 2, TALLAHASSEE, FL 32308-7404
(850) 386-9447
Mailing address
1641 MAHAN CENTER BLVD, SUITE 2, TALLAHASSEE, FL 32308-7404
(850) 386-9447
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM02761
FL
Other
Enumeration date
06/28/2012
Last updated
02/03/2014
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