Provider Demographics
NPI:1700024973
Name:KUHAREK, CINDY (ARNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:KUHAREK
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 GATEWAY CENTRE BLVD
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-6138
Mailing Address - Country:US
Mailing Address - Phone:727-544-3900
Mailing Address - Fax:727-544-5577
Practice Address - Street 1:4000 GATEWAY CENTRE BLVD
Practice Address - Street 2:SUITE # 200
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-6138
Practice Address - Country:US
Practice Address - Phone:727-544-3900
Practice Address - Fax:727-544-5577
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2056452363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306545600Medicaid