Provider Demographics
NPI:1215412242
Name:CIRIACO, CINTIA FERREIRA
Entity Type:Individual
Prefix:
First Name:CINTIA
Middle Name:FERREIRA
Last Name:CIRIACO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9756 SAN JOSE BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6468
Mailing Address - Country:US
Mailing Address - Phone:904-903-7961
Mailing Address - Fax:866-722-5316
Practice Address - Street 1:9765 SAN JOSE BLVD
Practice Address - Street 2:SUIT 103
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-3225
Practice Address - Country:US
Practice Address - Phone:904-903-7961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9217626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty