Individual
CYNTHIA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 455-1945
Mailing address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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