Organization
CYNTHIA BLACKWELL BRYAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA BLACKWELL BRYAN M.D. (PHYSICIAN)
(850) 897-1700
Entity
Organization
Contact information
Practice address
1001 W. COLLEGE BLVD, SUITE G, NICEVILLE, FL 32578
(850) 897-1700
(850) 897-1792
Mailing address
1001 W. COLLEGE BLVD, SUITE G, NICEVILLE, FL 32578
(850) 897-1700
(850) 897-1792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259143000
—
FL
Enumeration date
10/21/2010
Last updated
05/30/2015
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