Provider Demographics
NPI:1962482307
Name:BEHRENS, CINDY L (MD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6665 PENSACOLA BLVD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32505-1705
Practice Address - Country:US
Practice Address - Phone:850-416-2000
Practice Address - Fax:850-416-2086
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71453207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL59049888OtherBLUE CROSS BLUE SHIELD AL
FLA108OtherHEALTH FIRST NETWORK
FL080180456OtherRAILROAD MEDICARE
FL250659900Medicaid
FL31684OtherBLUE CROSS BLUE SHIELD FL
AL59049888OtherBLUE CROSS BLUE SHIELD AL
FL080180456OtherRAILROAD MEDICARE