Gourley, Cynthia

Gourley, Cynthia is an individual health care provider with primary practice located at 12880 Commodity Pl Care Of United Surgical Assistants, Inc., Tampa FL 33626-3101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gourley, Cynthia can be contacted via phone (877) 872-5788.

Contact Information

Primary practice address
12880 Commodity Pl Care Of United Surgical Assistants, Inc. Tampa FL 33626-3101
Phone: (877) 872-5788
Fax: (866) 698-7272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101235 Florida

Profile Details

NPI number 1962466490
LBN Legal business name Gourley, Cynthia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962466490 NPPES
Florida MEDICAID 291030600

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