Provider Demographics
NPI:1093312324
Name:AKIN, CYNTHIA ANN (APRN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:AKIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:ANN
Other - Last Name:AKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 361095
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32936-1095
Mailing Address - Country:US
Mailing Address - Phone:321-253-2900
Mailing Address - Fax:321-435-0100
Practice Address - Street 1:336 COGAN DR SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-6869
Practice Address - Country:US
Practice Address - Phone:321-462-4001
Practice Address - Fax:321-622-6400
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009428363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner