GREGORY A. CISNEROS MD PA NPI 1821242157

NPI Information

NPI: 1821242157
Provider Name: GREGORY A. CISNEROS MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
33 OLD KINGS RD N
SUITE 2
PALM COAST, FL
ZIP 32137
Phone: (386) 263-2718
Get Directions

GREGORY A. CISNEROS MD PA is a family medicine in Palm Coast, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GREGORY A. CISNEROS MD PA NPI is 1821242157. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 OLD KINGS RD N
SUITE 2
PALM COAST, FL
ZIP 32137-227
Phone: (386) 263-2718

The provider's authorized official is Gregorio A Cisneros .
The authorized official title is Owner and has the following contact phone number (386) 263-2718.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 11/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		ME84611	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME84611	OTHER	FLORIDA	OWNER STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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