Portner, Cindy J

Portner, Cindy J is an individual health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Portner, Cindy J can be contacted via phone (386) 231-6000.

Contact Information

Primary practice address
301 Memorial Medical Pkwy Daytona Beach FL 32117-5167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H0052675 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 0102201838 Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS20470 Florida

Profile Details

NPI number 1629055447
LBN Legal business name Portner, Cindy J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 22nd, 2024 - about 8 months 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 1629055447 NPPES
Virginia Other 033579 ANTHEM
Virginia Other 484645 ANTHEM
Virginia Other K142-0001 ANTHEM
Virginia MEDICAID 1629055447 ANTHEM
Virginia Other 31116 ANTHEM

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