Provider Demographics
NPI:1801954086
Name:FLANDERS, CYNTHIA H (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:H
Last Name:FLANDERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8669 SOUTHERN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9542
Mailing Address - Country:US
Mailing Address - Phone:904-363-0912
Mailing Address - Fax:904-645-6932
Practice Address - Street 1:8833 PERIMETER PARK BLVD
Practice Address - Street 2:SUITE 1201
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1109
Practice Address - Country:US
Practice Address - Phone:904-645-0251
Practice Address - Fax:904-645-6932
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME42425207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15798YMedicare ID - Type Unspecified
FLD45347Medicare UPIN