Individual
MRS. CYNTHIA E GAVILANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
603 N FLAMINGO RD STE 251, PEMBROKE PINES, FL 33028-1013
(954) 430-3999
(954) 430-8999
Mailing address
2160 COLONIAL BLVD., FORT MYERS, FL 33907
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9103698
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404CB
BCBS
FL
01
—
406717
AVMED
FL
01
—
7203919
AETNA
FL
01
—
8313297
CIGNA
FL
01
—
QMP000005335032
MOLINA HEALTHCARE
FL
01
—
YRSCV
BCBS
FL
Enumeration date
09/25/2006
Last updated
03/17/2018
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