Provider Demographics
NPI:1356423719
Name:URMOS, CYNTHIA (DC)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:URMOS
Suffix:
Gender:F
Credentials:DC
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 6337
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-6337
Mailing Address - Country:US
Mailing Address - Phone:850-932-3565
Mailing Address - Fax:850-932-3566
Practice Address - Street 1:2870 GULF BREEZE PARKWAY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563
Practice Address - Country:US
Practice Address - Phone:850-932-3565
Practice Address - Fax:850-932-3566
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10722955OtherAETNA
FL22927OtherBLUE CROSS BLUE SHIELD FL
FL10722955OtherAETNA