# CHERYL REILLY-WONG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275896573
- **Authorized official:** KATHLEEN SULLIVAN (ADMINISTRATIVE ASSISTANT I)
- **Authorized official phone:** (772) 462-3922

## Contact information

- **Practice address:** 5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
- **Practice address phone:** (772) 462-3800
- **Mailing address:** 5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | RN9220511 | FL | Yes |

## Other

- **Enumeration date:** 06/21/2012
- **Last updated:** 06/21/2012