Provider Demographics
NPI:1871569004
Name:MARIKA, CINDY SHEILA (DO)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:SHEILA
Last Name:MARIKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1604 TOWN CENTER CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3640
Mailing Address - Country:US
Mailing Address - Phone:954-349-2094
Mailing Address - Fax:954-349-2098
Practice Address - Street 1:1604 TOWN CENTER BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326
Practice Address - Country:US
Practice Address - Phone:954-349-2094
Practice Address - Fax:954-349-2098
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0005508207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE31901Medicare UPIN
FL80071WMedicare ID - Type Unspecified