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Individual

HEATHER J CINCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2565 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 634-3688
(321) 504-0955
Mailing address
2565 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 634-3688
(321) 504-0955

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA3059
FL
235Z00000X
Speech-Language Pathologist
Primary
SA3059
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
811645800
FL
05
888831100
FL
Enumeration date
03/26/2007
Last updated
01/14/2013
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