Provider Demographics
NPI:1881434132
Name:ROBERTS, CYNTHIA CASTILLO (CPT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CASTILLO
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4058 13TH ST STE 1105
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-6775
Mailing Address - Country:US
Mailing Address - Phone:407-664-0770
Mailing Address - Fax:
Practice Address - Street 1:4058 13TH ST STE 1105
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6775
Practice Address - Country:US
Practice Address - Phone:407-664-0770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLC380A1A612BA433D246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy