Cynthia Bautista Magrini, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME64964 Issued in FL

Practice address

777 W Duval St
Lake City, FL 32055-5806

Phone

(386) 755-3300

Fax

(386) 755-8595

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RDM Professional Services, Inc.

  • Adolescent Medicine (Internal Medicine) Physician
  • Lake City, FL
  • NPI 1699322867
  Medicare reassignment NPD
• Magnolia Family Care Corp

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1356904353
  NPD
• North Florida Emergency Physicians

  • Emergency Medicine Physician
  • Lake City, FL
  • NPI 1538251186
  NPD (past)
• Shands at Lake Shore Inc

  • Clinic/Center
  • Lake City, FL
  • NPI 1497854186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1487737482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555806",
            "telephone_number": "386-755-3300",
            "fax_number": "386-755-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W DUVAL ST",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320555806",
            "telephone_number": "386-755-3300",
            "fax_number": "386-755-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRINI",
        "first_name": "CYNTHIA",
        "middle_name": "BAUTISTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME64964",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zara Elizabeth Magana
• Magnolia Adult
• Magnolia Adult
• Magnolia Family Care Corp
• Magnolia Pediatrics LLC
• Thomas Bennett Mahan II, RRT
• Heather Marie Mahoney, LCSW
• Lauren Maloney, MSCAP
• Patrick Maltba
• Emmalee Diane Manning

• Internal Medicine Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.