Individual
CRAIG A CHERRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
4205 BELFORT RD STE 1100, JACKSONVILLE, FL 32216-5876
(904) 296-3103
(904) 296-3106
Mailing address
11945 SAN JOSE BLVD, SUITE 300, JACKSONVILLE, FL 32223-1613
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9368162
FL
363LF0000X
Family Nurse Practitioner
9368162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019667700
—
FL
Enumeration date
11/15/2016
Last updated
10/09/2017
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