Provider Demographics
NPI:1497561377
Name:GEORGE, CINTIA ELIZABETH (AHCA)
Entity type:Individual
Prefix:
First Name:CINTIA
Middle Name:ELIZABETH
Last Name:GEORGE
Suffix:
Gender:F
Credentials:AHCA
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:JILES CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:5902 MEMORIAL HWY APT 1604
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-5057
Mailing Address - Country:US
Mailing Address - Phone:786-716-9933
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4399
Practice Address - Country:US
Practice Address - Phone:813-436-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-05
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL24000461608163WH0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health