Provider Demographics
NPI:1114397999
Name:MAUZOUL JEAN-PIERRE, CINDY (NP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MAUZOUL JEAN-PIERRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:MAUZOUL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:14578 OLD CABERNET CIR APT 201
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-1415
Mailing Address - Country:US
Mailing Address - Phone:917-941-1955
Mailing Address - Fax:505-485-0372
Practice Address - Street 1:1536 SUNRISE PLAZA DR STE 100
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34714-6204
Practice Address - Country:US
Practice Address - Phone:509-931-1338
Practice Address - Fax:505-485-0372
Is Sole Proprietor?:No
Enumeration Date:2015-10-06
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401938-1363LP0808X
WA61122379363LP0808X
FL9454164363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health