Individual
MS. CYNISIA T MCBEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1521 NW 54TH ST, MIAMI, FL 33142-3807
(305) 278-0200
(786) 235-0145
Mailing address
11255 SW 211TH ST, MIAMI, FL 33189-2240
(305) 278-0200
(786) 235-0145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104368
PHYSICIAN ASSISTANT LICENSE
FL
Enumeration date
04/30/2008
Last updated
04/30/2008
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