Provider Demographics
NPI:1295851152
Name:PAYNE, CICILY (DC)
Entity Type:Individual
Prefix:DR
First Name:CICILY
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NW 109TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4315
Mailing Address - Country:US
Mailing Address - Phone:305-651-6818
Mailing Address - Fax:
Practice Address - Street 1:2950 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-5648
Practice Address - Country:US
Practice Address - Phone:954-924-6151
Practice Address - Fax:954-924-1540
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor