Provider Demographics
NPI:1245502210
Name:LUKACS, CINDILEE HARTNETT (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CINDILEE
Middle Name:HARTNETT
Last Name:LUKACS
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 1:311 9TH ST N STE 310
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5889
Mailing Address - Country:US
Mailing Address - Phone:239-624-8160
Mailing Address - Fax:239-624-8161
Practice Address - Street 1:311 9TH ST N STE 310
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5889
Practice Address - Country:US
Practice Address - Phone:239-436-6180
Practice Address - Fax:239-624-8161
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 1565802363LF0000X
FLARNP1565802363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0K98OtherBCBS
FLHP859ZOtherMEDICARE
FL009930200Medicaid