CYNTHIA BOLOGNA


Address: 1920 Don Wickham Dr Ste 305, Clermont, FL 34711-1977
Phone: 3523941150

CYNTHIA BOLOGNA (NPI# 1699186650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699186650
Entity Type Individual
Full Name CYNTHIA BOLOGNA
Credential ARNP
Practice Address 1920 Don Wickham Dr Ste 305
Clermont
FL 34711-1977
Mailing Address 4371 Veronica S Shoemaker Blvd
Attn: Credentialing Dept.
Fort Myers
FL 33916-2216
Practice Telephone 3523941150
Practice Fax Number 3523941560
Mailing Telephone 2392748200
Mailing Fax Number 2392783350
Enumeration Date 2014-05-13
Last Update Date 2014-10-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
ARNP9273226 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
ARNP9273226 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1920 DON WICKHAM DR STE 305
City CLERMONT
State FL
Zip Code 34711-1977

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053924589 Margaline Lazarre Nurse Practitioner 17343 Summer Oak Ln, Clermont, FL 34711-5905 2020-08-25
1689227688 Stephanie Nicole Kay Nurse Practitioner 1920 Don Wickham Dr Ste 100, Clermont, FL 34711-1977 2019-07-18
1922574045 Point of Care Health Net, LLC Nurse Practitioner 2991 Majestic Isle Dr, Clermont, FL 34711-5272 2018-10-16

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1770181182 Lisa Maria Mercado Nurse Practitioner 8115 97th Ct, Vero Beach, FL 32967-2810 2020-10-16
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Competitor

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City CLERMONT
Zip Code 34711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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