Provider Demographics
NPI:1962494575
Name:KORTE, CINDY (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:KORTE
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 1:39411 COUNTY ROAD 29
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-9502
Mailing Address - Country:US
Mailing Address - Phone:850-431-0170
Mailing Address - Fax:850-431-0169
Practice Address - Street 1:1300 MICCOSUKEE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5054
Practice Address - Country:US
Practice Address - Phone:850-471-0170
Practice Address - Fax:850-471-0169
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG736502080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G73650Medicaid
CAZZZ006575ZMedicare ID - Type Unspecified
E97015Medicare UPIN