Individual
MRS. CYNTHIA MCKEON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2900 W MIDWAY RD, FORT PIERCE, FL 34981-4955
(772) 467-0961
(772) 467-6683
Mailing address
2900 W MIDWAY RD, FORT PIERCE, FL 34981-4955
(772) 467-0961
(772) 467-6683
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9100890
STATE LICENSE NUMBER
FL
Enumeration date
06/07/2006
Last updated
07/08/2007
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