Individual
CYNTHIA LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
258 TREEMONTE DR STE 258, ORANGE CITY, FL 32763-7945
(386) 628-3376
(386) 877-0188
Mailing address
258 TREEMONTE DR STE 258, ORANGE CITY, FL 32763-7945
(386) 628-3376
(386) 877-0188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111868
FL
Other
Enumeration date
04/01/2019
Last updated
11/08/2023
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