# EXTRACARE & WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1417501040
- **Authorized official:** DR. KETTIA CADET CHERENFANT DNP (OWNER)
- **Authorized official phone:** (321) 246-5358

## Contact information

- **Practice address:** 1410 N PINE HILLS RD, ORLANDO, FL 32808-4408
- **Practice address phone:** (321) 246-5358
- **Mailing address:** 1410 N PINE HILLS RD, ORLANDO, FL 32808-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/15/2021