Individual
CYNTHIA DENISE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13858 STONE MILL WAY, TAMPA, FL 33613-4151
(813) 442-1042
Mailing address
13858 STONE MILL WAY, TAMPA, FL 33613-4151
(813) 442-1042
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
693234796
FL
172V00000X
Community Health Worker
693234798
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693234796
—
FL
05
—
693234798
—
FL
Enumeration date
06/25/2009
Last updated
06/25/2009
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