Individual
CYNTHIA LOVETT-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
943 CANAL LN NE, PALM BAY, FL 32905-5501
(321) 202-3501
Mailing address
805 REARDON ST SE, PALM BAY, FL 32909-7265
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015370600
—
FL
05
—
015985100
—
FL
Enumeration date
01/25/2016
Last updated
04/02/2019
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