Individual
CYNTHIA L BOHANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1901 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2013
(904) 733-6665
(904) 739-9117
Mailing address
1901 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2013
(904) 733-6665
(904) 739-9117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5084
LIC # FROM STATE OF FL
FL
Enumeration date
05/16/2006
Last updated
07/08/2007
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