Provider Demographics
NPI:1871500991
Name:HAM, CYNTHIA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ANN
Last Name:HAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:ANN
Other - Last Name:MEIER-HAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6191 MESSINA LN APT 103
Mailing Address - Street 2:
Mailing Address - City:COCOA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32931-5621
Mailing Address - Country:US
Mailing Address - Phone:678-296-7995
Mailing Address - Fax:
Practice Address - Street 1:6191 MESSINA LN APT 103
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-5621
Practice Address - Country:US
Practice Address - Phone:678-296-7995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2025-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA057133208M00000X, 207R00000X
FLME94211207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME94211OtherSTATE LICENSE
GA057133OtherSTATE LICENSE
FLM214612426000OtherDRIVERSLICENSE