Individual
CHERYL RENEE MATCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 MAPLE CT, MAITLAND, FL 32751-6356
(407) 421-6505
(407) 421-6505
Mailing address
831 MAPLE CT, MAITLAND, FL 32751-6356
(407) 421-6505
(407) 628-4943
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
233855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233855
AHCA LICENSE
FL
Enumeration date
09/26/2017
Last updated
09/26/2017
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