Provider Demographics
NPI:1174065171
Name:HORVATH, CYNTHIA ROGERS (CSFA)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ROGERS
Last Name:HORVATH
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2245 CHIANTI PL
Mailing Address - Street 2:#724
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-7765
Mailing Address - Country:US
Mailing Address - Phone:727-798-4695
Mailing Address - Fax:727-940-6130
Practice Address - Street 1:2245 CHIANTI PL
Practice Address - Street 2:#724
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-7765
Practice Address - Country:US
Practice Address - Phone:727-798-4695
Practice Address - Fax:727-940-6130
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL108824247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other