Provider Demographics
NPI:1336910165
Name:CUYLER, ISAAC JR (CAP)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:CUYLER
Suffix:JR
Gender:M
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 ART MUSEUM DR APT 162
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-4846
Mailing Address - Country:US
Mailing Address - Phone:850-570-0548
Mailing Address - Fax:
Practice Address - Street 1:2600 ART MUSEUM DR APT 162
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-4846
Practice Address - Country:US
Practice Address - Phone:850-570-0548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP100331101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty