Individual
ANITA JO CYR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 518-3801
Mailing address
2 COLONY CT, PALM COAST, FL 32137-8333
(919) 475-2889
(386) 310-2106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200600016
NC
207P00000X
Emergency Medicine Physician
Primary
ME142704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105335400
—
FL
01
—
142G1
BLUE CROSS BLUE SHIELD
NC
05
—
5904192
—
NC
01
—
P00336308
RAILROAD MEDICARE
NC
01
—
U015L
BCBS
FL
Enumeration date
05/12/2006
Last updated
11/24/2025
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