Provider Demographics
NPI:1033657044
Name:FREEMAN, CINDY LING
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LING
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:LING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11555 REGENCY VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7825
Mailing Address - Country:US
Mailing Address - Phone:689-210-0525
Mailing Address - Fax:833-654-0618
Practice Address - Street 1:11555 REGENCY VILLAGE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-7825
Practice Address - Country:US
Practice Address - Phone:689-210-0525
Practice Address - Fax:833-654-0618
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005590363LF0000X
TXAP133252363LF0000X
FL11009337363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP133252OtherTEXAS BOARD OF NURSING
FL11009337OtherFLORIDA BOARD OF NURSING
ARA005590OtherAR BOARD OF NURSING