Provider Demographics
NPI:1316326614
Name:CINI, KEITH (AP)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:
Last Name:CINI
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-9655
Mailing Address - Country:US
Mailing Address - Phone:561-290-3642
Mailing Address - Fax:
Practice Address - Street 1:385 TEQUESTA DR
Practice Address - Street 2:STE. 4
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3064
Practice Address - Country:US
Practice Address - Phone:561-761-4273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2614171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist