Provider Demographics
NPI:1740645316
Name:CINTRON, JENNIFER (AP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CINTRON
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 COMPASS ROSE DR
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-9626
Mailing Address - Country:US
Mailing Address - Phone:352-272-1686
Mailing Address - Fax:
Practice Address - Street 1:165 COMPASS ROSE DR
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-9626
Practice Address - Country:US
Practice Address - Phone:352-272-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3682171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist