Cynetra Zollicoffer
Individual provider Active NPI Phlebology Physician · Tampa, FL
NPI 1922589068 · NPPES record last updated Aug 27, 2018
Key facts
- NPI
- 1922589068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebology Physician 202K00000X
- License
- K6R7F3A3 (GA)
- Practice address
- 10208 Douglas Oaks Cir Apt 104
Tampa, FL 33610-8651 - Phone
- (678) 499-5745
- NPI assigned
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6R7F3A3 | GA | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A1 Diagnostics LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | K6R7F3A3 | GA | Yes |
Addresses
Primary practice location
10208 Douglas Oaks Cir Apt 104
Tampa, FL 33610-8651
Mailing address
10208 Douglas Oaks Cir Apt 104
Tampa, FL 33610-8651
Phone (678) 499-5745
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All providers in Tampa, FL · Phlebology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.