Individual
CINDY CANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1401
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11034379
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11034379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123604400
—
FL
01
—
TJ984
MEDICARE HFPS
FL
01
—
TJ986
MEDICARE HF
FL
Enumeration date
04/10/2019
Last updated
12/05/2024
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