Provider Demographics
NPI:1437546983
Name:HUNTLEY, CINDY (RPH)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:
Last Name:HUNTLEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:JEAN
Other - Last Name:WHITTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:2633 BAY ST
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-3005
Mailing Address - Country:US
Mailing Address - Phone:850-982-9753
Mailing Address - Fax:
Practice Address - Street 1:852 GULF BREEZE PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4723
Practice Address - Country:US
Practice Address - Phone:850-932-0030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS26621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist