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Individual

CYNTHIA BLACKWELL BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4970 HIGHWAY 90, MARIANNA, FL 32446-6802
(850) 718-5620
(850) 706-3996
Mailing address
4970 HIGHWAY 90, MARIANNA, FL 32446-6802
(850) 718-5620
(850) 706-3996

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME80397
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110233921
RAILROAD MEDICARE
FL
05
259143000
FL
01
35711
BLUE CROSS/BLUE SHIELD FL
FL
Enumeration date
03/09/2006
Last updated
07/16/2026
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